Alexander Charles Salloum
Surgeon Vascular Surgeon
1111 Broadway Ste 305
Chula Vista
, California 91911
Alexander Charles Salloum
Surgeon Vascular Surgeon
1111 Broadway Ste 305
Chula Vista
, California 91911
(619) 567-7775
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Alexander Charles Salloum
- 1111 Broadway Ste 305
- Chula Vista, CA
- Zip : 91911-2700
- Fax : (619) 567-7775
- Phone : (619) 567-7007
Second Address
- Alexander Charles Salloum
- 1111 Broadway Ste 305
- Chula Vista, CA
- Zip : 91911
- Fax : (619) 567-7775
- Phone : (619) 567-7007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | A89300 | CA |
| N | 208600000X | Surgeon | A89300 | CA |
| Y | 2086S0129X | Vascular Surgeon | A89300 | CA |
National Provider Identifier
| NPI | 1124176151 |
|---|---|
| Provider Name | Alexander Charles Salloum |
| First Address | Chula Vista, CA 91911-2700 |
| Second Address | Chula Vista, CA 91911 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 14/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1124176151 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.