| Organization Name: | SALAS MEDICAL CLINIC, INC |
| NPI Number: | 1376788075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE RAUL SALAS (PRESIDENT) |
| Mailing Address: | 973 Sequoia Ave Lindsay |
| State: | CA US |
| Postal Code: | 932471426 |
| Phone Number: | 5595627799 |
| Fax Number: | 5597828763 |
| NPI Enumeration Date: | 12/09/2008 |
| NPI Last Update Date: | 12/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | A38943 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |