Provider Demographics
NPI:1306927124
Name:SALEM, YASSER HILMEY (MD)
Entity type:Individual
Prefix:
First Name:YASSER
Middle Name:HILMEY
Last Name:SALEM
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:P.O. BOX 2393
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92859
Mailing Address - Country:US
Mailing Address - Phone:714-545-5200
Mailing Address - Fax:714-375-7933
Practice Address - Street 1:8101 NEWMAN AVE
Practice Address - Street 2:SUITE # D
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7042
Practice Address - Country:US
Practice Address - Phone:714-545-5200
Practice Address - Fax:714-375-7933
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72435208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17097Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER