Sam Mussallam

Counselor · Tracy, CA

Individual Active NPI

NPI number 1124636592

Practice location

524 Presidio Pl
Tracy, CA 95377-8508
Phone
(209) 237-7105

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NPI record

NPI
1124636592
Entity type
Individual (Type 1)
Enumeration date
July 21, 2020
Last updated
July 21, 2020
Certified
July 21, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Sam Mussallam

Sam Mussallam is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 524 Presidio Pl, Tracy, CA 95377-8508. The NPI number 1124636592 was assigned on July 21, 2020 and the record was last updated on July 21, 2020.

Frequently asked questions

What is the NPI number of Sam Mussallam?

The NPI number is 1124636592.

What is the phone number of Sam Mussallam?

The phone number listed for the practice location is (209) 237-7105.

Where is Sam Mussallam located?

524 Presidio Pl, Tracy, CA 95377-8508.

What is the taxonomy code for Sam Mussallam?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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