Individual
SARA SALEM MATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
PA62020
CA
261QP2300X
Primary Care Clinic/Center
Primary
PA62020
CA
Other
Enumeration date
07/20/2022
Last updated
01/15/2025
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