Individual
JUSTIN ATA SALEHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41238 MARGARITA RD STE 106, TEMECULA, CA 92591
(951) 506-9392
Mailing address
41238 MARGARITA RD STE 106, TEMECULA, CA 92591-5552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.164592
IL
208000000X
Pediatrics Physician
Primary
A182640
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2020
Last updated
12/11/2024
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