Individual
SALAM F ALKASSPOOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11633 SAN VICENTE BLVD, SUITE 314, LOS ANGELES, CA 90049-6511
(310) 207-0020
(310) 207-0030
Mailing address
11633 SAN VICENTE BLVD STE 314, LOS ANGELES, CA 90049-6514
(310) 207-0020
(310) 207-0030
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G81802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G818020
—
CA
01
—
G81802
LICENSE
CA
Enumeration date
01/09/2007
Last updated
01/24/2019
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