Organization
INTERNATIONAL MEDICAL TECHNOLOGY, INC
Active
Other names
Ostomy Clinic of Inland Empire
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOUAD A SALAMA M.D (OWNER/PRESIDENT)
(951) 302-1888
Entity
Organization
Contact information
Practice address
31717 TEMECULA PKWY, TEMECULA, CA 92592-5869
(951) 302-1888
(951) 302-9888
Mailing address
31717 TEMECULA PKWY, TEMECULA, CA 92592-5869
(951) 302-1888
(951) 302-9888
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C50309
CA
Other
Enumeration date
12/03/2014
Last updated
07/21/2022
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