Provider Demographics
NPI:1891890901
Name:SALEK, MUNIF (MD)
Entity Type:Individual
Prefix:DR
First Name:MUNIF
Middle Name:
Last Name:SALEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40316 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:#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
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52240207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG84291Medicare UPIN