Organization
PERFORMANCE SPORTS AND FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SALEH M.D. (CEO)
(310) 925-1826
Entity
Organization
Contact information
Practice address
1277 KETTNER BLVD UNIT 311, SAN DIEGO, CA 92101-3381
(310) 925-1826
Mailing address
1277 KETTNER BLVD UNIT 311, SAN DIEGO, CA 92101-3381
(310) 925-1826
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A135553
CA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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