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NPI Code Detail

MEDICARE: SALUTEM BIO-PERFORMANCE INC.

MEDICARE: SALUTEM BIO-PERFORMANCE INC.
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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1447856190
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALUTEM BIO-PERFORMANCE INC.
Provider Business Mailing Address
First Line : 24551 SILVER CLOUD CT STE 101
Second Line :
City : MONTEREY
State : CA
Zip : 93940-6532
Country : US
Telephone Number : 831-293-8659
Fax Number : 831-920-2453
Provider Business Practice Location Address
First Line : 24551 SILVER CLOUD CT STE 101
Second Line :
City : MONTEREY
State : CA
Zip : 93940-6532
Country : US
Telephone Number : 831-293-8659
Fax Number : 831-920-2453
Authorized Official
Title or Position : CFO
Name : MICHAEL J. MILLER
Credential :
Telephone Number : 831-293-8659
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/08/2020

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Directions to “SALUTEM BIO-PERFORMANCE INC. ” Practice Location

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