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Organization

SALAM F ALKASSPOOLES M D AMC

Active
Parent organization
SALAM F ALKASSPOOLES M D AMC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SALAM F ALKASSPOOLES M D AMC
Authorized official
MR. SALAM F ALKASSPOOLES M.D. (PRESIDENT)
(310) 652-0092
Entity
Organization

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
261Q00000X
Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00818020
CA
Enumeration date
03/25/2013
Last updated
01/24/2019
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