Provider Demographics
NPI:1083834477
Name:MUNIF SALEK, M.D. INC.
Entity Type:Organization
Organization Name:MUNIF SALEK, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-566-5646
Mailing Address - Street 1:40316 BERLIE ST.
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562
Mailing Address - Country:US
Mailing Address - Phone:951-566-5646
Mailing Address - Fax:951-566-5670
Practice Address - Street 1:28078 BAXTER RD
Practice Address - Street 2:STE. 324
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563
Practice Address - Country:US
Practice Address - Phone:951-566-5646
Practice Address - Fax:951-566-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center