Mr Fares Salib, is a
Student In An Organized Health Care Education/training Program based in Santa Monica, California. Mr Fares Salib is licensed to practice in California (license number ) and his current practice location is
909 Pico Blvd, Santa Monica, California. He can be reached at his office (for appointments etc.) via phone at
(949) 344-0543.
NPI number for Mr Fares Salib is 1003790700 and his current mailing address is 2794 Emerald Bay Dr, Rialto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003790700.
Healthcare Provider's Profile
| Full Name | Mr Fares Salib |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 909 Pico Blvd, Santa Monica, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003790700
- Provider Enumeration Date: 08/05/2025
- Last Update Date: 08/18/2025
Medical Identifiers
Medical identifiers for Mr Fares Salib such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003790700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Fares Salib is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Fares Salib,
2794 Emerald Bay Dr,
Rialto, CA 92377-5916
Ph: (949) 344-0543 | Mr Fares Salib,
909 Pico Blvd,
Santa Monica, CA 90405-1326
Ph: (949) 344-0543 |
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