Individual
JACOB SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18370 BURBANK BLVD, SUITE 714, TARZANA, CA 91356-2827
(818) 996-6100
(818) 668-8323
Mailing address
PO BOX 260994, ENCINO, CA 91426-0994
(818) 996-6100
(818) 668-8323
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A40910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A409100
—
CA
05
—
5883117
—
CA
Enumeration date
09/12/2006
Last updated
07/09/2007
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