Most Relevant Information
Provider Data
| NPI Number: | 1003449174 |
| Provider Name: | ISAAC JOSUE SALAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2020 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
4141 PACIFIC HWY
SAN DIEGO
CA
921102030
Practice Location Phone/Fax
| Phone: | 6193932301 |
| Fax: |
Provider Mailing Location
1664 BROADWAY
EL CAJON
CA
920215201
Provider Mailing Phone/Fax
| Phone: | 6195798685 |
| Fax: |