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Contact Information

GUSTAVO SALAS, PA
2801 'L' STREET
SACRAMENTO, CA95816
 Phone: 916-733-3003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GUSTAVO SALAS · (Male)

NPI Number 1215045059
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/29/2006
Last updated 03/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA17738
  • CA Medicaid PA17738
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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