Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | C172029 | CA |
N | 111NI0900X | Internist | C172029 | CA |
N | 207R00000X | Internist | MD-44758 | IA |
N | 111NI0900X | Internist | MD-44758 | IA |
Y | 207RI0200X | Infectious Disease | C172029 | CA |
N | 207RI0200X | Infectious Disease | MD-44758 | IA |
NPI | 1073742342 |
---|---|
Provider Name | Jorge Luis Salinas |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 23/06/2021 |