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Organization
MARINA A SALAMA MD INC
Active
Organization
MARINA A SALAMA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA A SALAMA MD (PRESIDENT)
(540) 353-5111
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4597
(818) 782-6600
Mailing address
5131 GENESTA AVE, ENCINO, CA 91316-3450
(540) 353-5111
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730479809
—
CA
01
—
694921
THE AMERICAN BOARD OF PEDIATRICS
NC
01
—
A125617
MEDICAL LICENSE
CA
Enumeration date
09/02/2020
Last updated
03/07/2023
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