Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A161281 | CA |
Y | 111NI0900X | Internist | A161281 | CA |
NPI | 1003262130 |
---|---|
Provider Name | Mr. Kevin Marc Salire |
First Address | Orange, CA 92868-2994 |
Second Address | Orange, CA 92868-2994 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2016 |
Last Update Date | 03/07/2021 |