Individual
LUIS B SALAS GORGONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1700 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5115
(909) 883-8611
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
782313
CA
Other
Enumeration date
08/01/2017
Last updated
01/08/2026
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