MEDICARE: DR. CHRISTOPHER JOSEPH SALAH DAOM., L.AC.

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
1	171100000X	Acupuncturist	AC9665	CA

General Provider Information

NPI Number	:	1679713945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JOSEPH SALAH DAOM., L.AC.

Provider Business Mailing Address
First Line	:	1445 E LOS ANGELES AVE STE 204
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2827
Country	:	US
Telephone Number	:	805-404-5412
Fax Number	:

Provider Business Practice Location Address
First Line	:	1445 E LOS ANGELES AVE STE 204
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2827
Country	:	US
Telephone Number	:	805-404-5412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	08/18/2020

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