Organization
ERNESTO T. SALAS, MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN G SALAS (OFFICE MANAGER)
(951) 693-1159
Entity
Organization
Contact information
Practice address
27699 JEFFERSON AVE, SUITE 311, TEMECULA, CA 92590-2661
(951) 693-1159
Mailing address
27699 JEFFERSON AVE, SUITE 311, TEMECULA, CA 92590-2661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A053434
CA
Other
Enumeration date
12/05/2008
Last updated
07/17/2009
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