Individual
DR. SAMUEL SALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 ROYALTY DR, STE 220, POMONA, CA 91767-3056
(909) 570-3108
(909) 469-6741
Mailing address
1902 ROYALTY DR, STE 220, POMONA, CA 91767-3056
(909) 570-3108
(909) 469-6741
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G20048
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G20048
CA
2085R0204X
Vascular & Interventional Radiology Physician
G20048
CA
2085U0001X
Diagnostic Ultrasound Physician
G20048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G200480
—
CA
Enumeration date
06/15/2005
Last updated
10/08/2008
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