Individual
DR. BOULES SALIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5411 ETIWANDA AVE # 200, TARZANA, CA 91356-3648
(424) 314-0270
Mailing address
19634 VENTURA BLVD, STE 321, TARZANA, CA 91356-2994
(310) 388-8788
(855) 667-6377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
257623
NY
207R00000X
Internal Medicine Physician
25MA08661500
NJ
207R00000X
Internal Medicine Physician
Primary
A125934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB231329
MEDICARE PTAN
CA
Enumeration date
10/30/2008
Last updated
10/11/2022
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