| Salas Medical Clinic, Inc. | |
|
575 W Putnam Ave Porterville CA 93257-3270 | |
| (559) 784-6888 | |
| (559) 784-1592 |
| Full Name | Salas Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 575 W Putnam Ave, Porterville, California |
| Authorized Official Name and Position | Jose Rual Salas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5597846888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salas Medical Clinic, Inc. 575 W Putnam Ave Porterville CA 93257-3270 Ph: (559) 784-6888 | Salas Medical Clinic, Inc. 575 W Putnam Ave Porterville CA 93257-3270 Ph: (559) 784-6888 |
| NPI Number | 1013112689 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013112689 | NPI | - | NPPES |
| 00A389430 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | A38943 (California) | Primary |
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