Provider Demographics
NPI:1063651222
Name:SALIM, FARINA ALVI (PA)
Entity Type:Individual
Prefix:MRS
First Name:FARINA
Middle Name:ALVI
Last Name:SALIM
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:400 N PEPPER AVE
Mailing Address - Street 2:MODULAR #6
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-1801
Mailing Address - Country:US
Mailing Address - Phone:909-580-6280
Mailing Address - Fax:909-580-6257
Practice Address - Street 1:400 N PEPPER AVE
Practice Address - Street 2:MODULAR #6
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1801
Practice Address - Country:US
Practice Address - Phone:909-580-6280
Practice Address - Fax:909-580-6257
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA20032363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical