Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A108615 | CA |
NPI | 1467685826 |
---|---|
Provider Name | Dr. Shala Amal Salem |
First Address | Torrance, CA 90505-3884 |
Second Address | Torrance, CA 90505-3884 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2009 |
Last Update Date | 02/02/2010 |