Organization
MAHER M SALEEB, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHER M SALEEB M.D. (PRESIDENT)
(909) 957-4997
Entity
Organization
Contact information
Practice address
20072 SW BIRCH ST, STE # 240, NEWPORT BEACH, CA 92660-0794
(949) 955-1088
(909) 380-8604
Mailing address
5688 COUSINS PL, RANCHO CUCAMONGA, CA 91737-2156
(909) 948-7548
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
A54830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A548300
MEDICARE ID - TYPE UNSPECIFIED
—
05
—
8212417
—
WA
01
—
AR755
MEDICARE ID - DMH
—
Enumeration date
12/30/2010
Last updated
12/30/2010
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