Salen, Samuel

Salen, Samuel is an individual health care provider with primary practice located at 1902 Royalty Dr Ste 220, Pomona CA 91767-3056. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Salen, Samuel can be contacted via phone (909) 570-3108.

Contact Information

Primary practice address
1902 Royalty Dr Ste 220 Pomona CA 91767-3056
Phone: (909) 570-3108
Fax: (909) 469-6741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X G20048 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G20048 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G20048 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X G20048 California

Profile Details

NPI number 1629073804
LBN Legal business name Salen, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 8th, 2008 - about 17 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 1629073804 NPPES
California MEDICAID 00G200480

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