# MOIN SALAH MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861163008
- **Authorized official:** DR. MOIN SALAH MD, MBA (CEO)
- **Authorized official phone:** (805) 636-2905

## Contact information

- **Practice address:** 1200 ROSECRANS AVE STE 202, MANHATTAN BEACH, CA 90266-2470
- **Practice address phone:** (805) 636-2905
- **Mailing address:** 1200 ROSECRANS AVE STE 202, MANHATTAN BEACH, CA 90266-2470
- **Mailing address phone:** (805) 636-2905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2021
- **Last updated:** 09/27/2021