# SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WCC of Escondido, South Bay Wound Care, Wound Care Center of Escondido, SS Vascular
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578949889
- **Authorized official:** DR. ALEXANDER SALLOUM M.D. (OFFICER AND PRESIDENT)
- **Authorized official phone:** (619) 567-7007

## Contact information

- **Practice address:** 336 OXFORD ST STE 104, CHULA VISTA, CA 91911-3121
- **Practice address phone:** (619) 567-3556
- **Mailing address:** 1045 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-4616
- **Mailing address phone:** (619) 567-7007
- **Mailing address fax:** (619) 567-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | A89300 | CA | — |
| 208600000X | Surgery Physician | A89300 | CA | — |
| 2086S0129X | Vascular Surgery Physician | A89300 | CA | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A89300 | CA | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 11/11/2022