Organization
SALAS MEDICAL CLINIC, INC.
Active
Other names
Salas Medical Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE RUAL SALAS M.D. (MEDICAL DIRECTOR)
(559) 784-6888
Entity
Organization
Contact information
Practice address
575 W PUTNAM AVE, PORTERVILLE, CA 93257-3270
(559) 784-6888
(559) 784-1592
Mailing address
575 W PUTNAM AVE, PORTERVILLE, CA 93257-3270
(559) 784-6888
(559) 784-1592
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
A38943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A389430
—
CA
Enumeration date
06/15/2007
Last updated
01/14/2008
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