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Organization

ELITE SPECIALTY SURGERY CENTER OF CHULA VISTA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER SALLOUM MD (CEO)
(619) 616-7641
Entity
Organization

Contact information

Practice address
256 LANDIS AVE, CHULA VISTA, CA 91910-2650
(619) 616-7641
Mailing address
1045 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-4616
(760) 884-4500
(619) 567-7775

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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