Salesian High School
NPI #1659018901 in Richmond, California
Provider Information
- NPI Number
- 1659018901
- Entity Type
- Organization
- Organization Name
- Salesian High School
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 18, 2022
- Last Updated
- May 18, 2022
Practice Location
- Address
- 2851 SALESIAN AVE
- City
- Richmond
- State
- California
- ZIP Code
- 94804-1025
- Phone
- (972) 367-4845
Authorized Official
- Name
- MR. MOUZON BASS III
- Title
- ADMINISTRATOR/AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
| Family Medicine |
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