| Organization Name: | SALAS MEDICAL CLINIC, INC. |
| NPI Number: | 1013112689 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE RUAL SALAS (MEDICAL DIRECTOR) |
| Mailing Address: | 575 W Putnam Ave Porterville |
| State: | CA US |
| Postal Code: | 932573270 |
| Phone Number: | 5597846888 |
| Fax Number: | 5597841592 |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 01/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | A38943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |