Provider Demographics
NPI:1497783039
Name:SALAMEH, GEORGE YOUSEF (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:YOUSEF
Last Name:SALAMEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:14023 CAMINITO VISTANA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3720
Mailing Address - Country:US
Mailing Address - Phone:858-538-7458
Mailing Address - Fax:858-484-1621
Practice Address - Street 1:4077 FIFTH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2105
Practice Address - Country:US
Practice Address - Phone:619-260-7000
Practice Address - Fax:619-260-7050
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA43959207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A439590Medicaid
CA00A439590Medicaid
CAE27243Medicare UPIN