Provider Demographics
NPI:1073275616
Name:SALSABILIAN, SHADI (OD)
Entity type:Individual
Prefix:DR
First Name:SHADI
Middle Name:
Last Name:SALSABILIAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:48 W ROMIE LN
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2317
Mailing Address - Country:US
Mailing Address - Phone:831-424-0834
Mailing Address - Fax:831-424-4994
Practice Address - Street 1:48 W ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2317
Practice Address - Country:US
Practice Address - Phone:831-424-0834
Practice Address - Fax:831-424-4994
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT34958-TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist