Provider Demographics
NPI:1447856190
Name:SALUTEM BIO-PERFORMANCE INC.
Entity type:Organization
Organization Name:SALUTEM BIO-PERFORMANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-293-8659
Mailing Address - Street 1:24551 SILVER CLOUD CT STE 101
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6532
Mailing Address - Country:US
Mailing Address - Phone:831-293-8659
Mailing Address - Fax:831-920-2453
Practice Address - Street 1:24551 SILVER CLOUD CT STE 101
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6532
Practice Address - Country:US
Practice Address - Phone:831-293-8659
Practice Address - Fax:831-920-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty