Provider Demographics
NPI:1114300324
Name:SALHA, BASSIM (DC)
Entity Type:Individual
Prefix:
First Name:BASSIM
Middle Name:
Last Name:SALHA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13710 WHITTIER BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-4412
Mailing Address - Country:US
Mailing Address - Phone:562-309-1916
Mailing Address - Fax:
Practice Address - Street 1:13710 WHITTIER BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-4412
Practice Address - Country:US
Practice Address - Phone:562-309-1916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor