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Salam F Alkasspooles M D Amc
Clinic/Center in Los Angeles, California
NPI 1609118983

Salam F Alkasspooles M D Amc is a Clinic/Center based in Los Angeles, CA. Salam F Alkasspooles M D Amc practices in Los Angeles, CA. The NPI Number for Salam F Alkasspooles M D Amc is 1609118983 and holds a License No. (California).

The current practice location address for Salam F Alkasspooles M D Amc is 11633 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-207-0020 and via fax at 310-207-0030.

Location: 11633 San Vicente Blvd, Los Angeles, CA, 90049-6514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609118983
Provider Name
Salam F Alkasspooles M D Amc
Credential
Provider Entity Type
Organization
Address
11633 San Vicente Blvd, Los Angeles, CA, 90049-6514
Phone Number
310-207-0020
Fax Number
310-207-0030
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00818020 05 CA
institution
Provider Business Practice Location Address Details
Address
11633 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6511
Phone Number
310-207-0020
Fax Number
310-207-0030
person
Provider Business Mailing Address Details
Address
11633 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6511
Phone Number
310-207-0020
Fax Number
310-207-0030
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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