Organization
J. RAUL SALAS, M.D., INC
Active
Organization
J. RAUL SALAS, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE RAUL SALAS SR. M.D. (PRESIDENT)
(559) 310-8729
Entity
Organization
Contact information
Practice address
575 W PUTNAM AVE, PORTERVILLE, CA 93257-3270
(559) 784-6878
(559) 784-1592
Mailing address
667 W BELLEVIEW AVE, PORTERVILLE, CA 93257-2176
(559) 310-8729
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LAB58497H
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A38943
—
CA
Enumeration date
10/01/2008
Last updated
03/29/2018
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