Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 20A10607 | CA |
N | 207Q00000X | Family Doctor | 20A10607 | CA |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 20A10607 | CA |
NPI | 1124273313 |
---|---|
Provider Name | Christopher E Salem |
First Address | Cypress, CA 90630-2931 |
Second Address | Irvine, CA 92614-6569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2008 |
Last Update Date | 10/11/2020 |