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NPI Code Detail

MEDICARE: SALAH YOUSEF CRNA

MEDICARE: SALAH YOUSEF CRNA
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
1367500000XCertified Registered Nurse Anesthetist123790MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
190333OTHERMAFALLON
2P00096823OTHERRAILROAD

General Provider Information

NPI Number : 1942270319
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALAH YOUSEF CRNA
Provider Business Mailing Address
First Line : 31625 DE PORTOLA RD STE 101
Second Line :
City : TEMECULA
State : CA
Zip : 92592-2770
Country : US
Telephone Number : 951-501-4200
Fax Number : 951-900-3108
Provider Business Practice Location Address
First Line : 31625 DE PORTOLA RD STE 101
Second Line :
City : TEMECULA
State : CA
Zip : 92592-2770
Country : US
Telephone Number : 951-501-4200
Fax Number : 951-900-3108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 01/26/2022

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Directions to “ SALAH YOUSEF CRNA” Practice Location

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