Basic Information
| Provider Information | |||||||||
| NPI: | 1164526356 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SALIH | ||||||||
| FirstName: | MICHAEL | ||||||||
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| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 575 E HARDY ST | ||||||||
| Address2: | STE 212 | ||||||||
| City: | INGLEWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 903014026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2093843198 | ||||||||
| FaxNumber: | 2097251603 | ||||||||
| Practice Location | |||||||||
| Address1: | 378 W OLIVE AVE | ||||||||
| Address2: | SUITE C | ||||||||
| City: | MERCED | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953483137 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2093843198 | ||||||||
| FaxNumber: | 2093834230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2006 | ||||||||
| LastUpdateDate: | 01/27/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | E4507 | CA | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.