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NPI Code Detail

MEDICARE: MICHAEL SALAMA

MEDICARE:   MICHAEL  SALAMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA130462CA

General Provider Information

NPI Number : 1366734568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SALAMA
Provider Business Mailing Address
First Line : 8204 LONG BEACH BLVD
Second Line : SUITE #B
City : SOUTH GATE
State : CA
Zip : 90280-2011
Country : US
Telephone Number : 323-588-3300
Fax Number :
Provider Business Practice Location Address
First Line : 8204 LONG BEACH BLVD
Second Line : SUITE #B
City : SOUTH GATE
State : CA
Zip : 90280-2011
Country : US
Telephone Number : 323-588-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2011
Last Update Date : 04/23/2015

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Directions to “ MICHAEL SALAMA ” Practice Location

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