Individual
SALMAN OTOUKESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E. DUARTE ROAD, DUARTE, CA 91010
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10047617
TX
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A139997
CA
Other
Enumeration date
06/10/2013
Last updated
06/17/2019
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