Healthcare Provider Details

I. General information

NPI: 1487385530
Provider Name (Legal Business Name): SALIM ALFALAHI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10480 CELESTIAL WATERS DR
SPRING VALLEY CA
91977-3475
US

IV. Provider business mailing address

10480 CELESTIAL WATERS DR
SPRING VALLEY CA
91977-3475
US

V. Phone/Fax

Practice location:
  • Phone: 619-277-9290
  • Fax:
Mailing address:
  • Phone: 619-277-9290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberF1724057
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: