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Organization

SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION

Active
Other names
WCC of Escondido, South Bay Wound Care, Wound Care Center of Escondido, SS Vascular
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDER SALLOUM M.D. (OFFICER AND PRESIDENT)
(619) 567-7007
Entity
Organization

Contact information

Practice address
336 OXFORD ST STE 104, CHULA VISTA, CA 91911-3121
(619) 567-3556
Mailing address
1045 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-4616
(619) 567-7007
(619) 567-7775

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
A89300
CA
208600000X
Surgery Physician
A89300
CA
2086S0129X
Vascular Surgery Physician
Primary
A89300
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A89300
CA
213E00000X
Podiatrist

Other

Enumeration date
08/10/2015
Last updated
11/11/2022
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