# SALAS MEDICAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salas Medical Clinic, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013112689
- **Authorized official:** DR. JOSE RUAL SALAS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (559) 784-6888

## Contact information

- **Practice address:** 575 W PUTNAM AVE, PORTERVILLE, CA 93257-3270
- **Practice address phone:** (559) 784-6888
- **Practice address fax:** (559) 784-1592
- **Mailing address:** 575 W PUTNAM AVE, PORTERVILLE, CA 93257-3270
- **Mailing address phone:** (559) 784-6888
- **Mailing address fax:** (559) 784-1592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | A38943 | CA | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 01/14/2008