Organization
AVICENNA CRITICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED SALEM D.O (OWNER)
(858) 336-8177
Entity
Organization
Contact information
Practice address
1940 EL CAJON BLVD, SAN DIEGO, CA 92104-1005
(619) 543-4500
Mailing address
PO BOX 3363, LA JOLLA, CA 92038-3363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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