Provider Demographics
NPI:1417601345
Name:SALUTOGENESIS
Entity Type:Organization
Organization Name:SALUTOGENESIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF THE ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:SABIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-382-1737
Mailing Address - Street 1:810 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3402
Mailing Address - Country:US
Mailing Address - Phone:858-382-1737
Mailing Address - Fax:888-375-3099
Practice Address - Street 1:810 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3402
Practice Address - Country:US
Practice Address - Phone:858-382-1737
Practice Address - Fax:888-375-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty