Provider Demographics
NPI:1164526356
Name:SALIH, MICHAEL (DPM)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:SALIH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:575 E HARDY ST
Mailing Address - Street 2:STE 212
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4026
Mailing Address - Country:US
Mailing Address - Phone:209-384-3198
Mailing Address - Fax:209-725-1603
Practice Address - Street 1:378 W OLIVE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-3137
Practice Address - Country:US
Practice Address - Phone:209-384-3198
Practice Address - Fax:209-383-4230
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE4507213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E45071Medicare PIN
CAU96759Medicare UPIN