Organization
SALVADOR E LASALA MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVADOR E LASALA MD (PRESIDENT)
(909) 886-3100
Entity
Organization
Contact information
Practice address
399 E HIGHLAND AVE, STE 214, SAN BERNARDINO, CA 92404-3816
(909) 886-3100
(909) 886-4100
Mailing address
399 E HIGHLAND AVE, STE 214, SAN BERNARDINO, CA 92404-3816
(909) 886-3100
(909) 886-4100
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
A52616
CA
171M00000X
Case Manager/Care Coordinator
A52616
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A52616
CA
Other
Enumeration date
05/09/2007
Last updated
09/11/2025
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