# INTERNATIONAL MEDICAL TECHNOLOGY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ostomy Clinic of Inland Empire
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942607080
- **Authorized official:** MR. FOUAD A SALAMA M.D (OWNER/PRESIDENT)
- **Authorized official phone:** (951) 302-1888

## Contact information

- **Practice address:** 31717 TEMECULA PKWY, TEMECULA, CA 92592-5869
- **Practice address phone:** (951) 302-1888
- **Practice address fax:** (951) 302-9888
- **Mailing address:** 31717 TEMECULA PKWY, TEMECULA, CA 92592-5869
- **Mailing address phone:** (951) 302-1888
- **Mailing address fax:** (951) 302-9888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | C50309 | CA | Yes |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 07/21/2022