Provider Demographics
NPI:1083825822
Name:MULTANI, SALIMA (MD)
Entity Type:Individual
Prefix:
First Name:SALIMA
Middle Name:
Last Name:MULTANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-4515
Mailing Address - Country:US
Mailing Address - Phone:562-437-6828
Mailing Address - Fax:562-437-5328
Practice Address - Street 1:934 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-4515
Practice Address - Country:US
Practice Address - Phone:562-437-6828
Practice Address - Fax:562-437-5328
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51179207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A511790Medicaid
CAF45643Medicare UPIN
CAWA51179DMedicare ID - Type UnspecifiedRENDERING PHYSICIAN NUMBE