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Individual

MOHAMMAD WASEF SALOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
180 CITY BLVD W APT 304, ORANGE, CA 92868-7910
(657) 282-1685
Mailing address
180 CITY BLVD W APT 304, ORANGE, CA 92868-7910
(657) 282-1685

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
54778
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95039208
CA

Other

Enumeration date
03/23/2026
Last updated
05/12/2026
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