Individual
DIEGO DE JESUS SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
969 S SANTA FE AVE STE A, VISTA, CA 92083-6910
(760) 941-7050
Mailing address
18455 IDALEONA RD, PERRIS, CA 92570-9061
(951) 722-5261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61829
CA
Other
Enumeration date
08/12/2022
Last updated
06/10/2025
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