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NPI Code Detail

MEDICARE: DESERRY SALGADO

MEDICARE:   DESERRY  SALGADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker137325CA

General Provider Information

NPI Number : 1033946363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESERRY SALGADO
Provider Business Mailing Address
First Line : 2500 N PALM CANYON DR STE A4
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-1866
Country : US
Telephone Number : 760-424-5602
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N PALM CANYON DR STE A4
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-1866
Country : US
Telephone Number : 760-424-5602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 03/03/2026

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Directions to “ DESERRY SALGADO ” Practice Location

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