Salem Harake M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A80782 Issued in CA

Legal business name

SALEM HARAKE M.D., INC.

Doing business as

DBA: Pars Medical Clinic

Practice address

18445 Vanowen St
Reseda, CA 91335-5324

Phone

(818) 708-8484

Fax

(818) 881-7451

NPI assigned

Aug 15, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Salem Nour Harake, M.D.

Title

Physician/Ceo/Owner

Phone

(818) 708-8484

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• DBA: Pars Medical Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1972936755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18445 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355324",
            "telephone_number": "818-708-8484",
            "fax_number": "818-881-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18445 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355324",
            "telephone_number": "818-708-8484",
            "fax_number": "818-881-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HARAKE M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "HARAKE",
        "authorized_official_first_name": "SALEM",
        "authorized_official_middle_name": "NOUR",
        "authorized_official_title_or_position": "PHYSICIAN/CEO/OWNER",
        "authorized_official_telephone_number": "818-708-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80782",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A80782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586239",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WA80782A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A807820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Pars Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.