Alkasspooles, Salam F

Alkasspooles, Salam F is an sole proprietor health care provider with primary practice located at 11633 San Vicente Blvd Suite 314, Los Angeles CA 90049-6511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Alkasspooles, Salam F can be contacted via phone (310) 207-0020.

Contact Information

Primary practice address
11633 San Vicente Blvd Suite 314 Los Angeles CA 90049-6511
Fax: (310) 207-0030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G81802 California

Profile Details

NPI number 1548319965
LBN Legal business name Alkasspooles, Salam F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jan 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548319965 NPPES
California Other G81802 LICENSE
California MEDICAID 00G818020 LICENSE

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