MEDICARE: DR. BRIELLE SALAMONE

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
1	171100000X	Acupuncturist	20400	CA

General Provider Information

NPI Number	:	1073404190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIELLE SALAMONE

Provider Business Mailing Address
First Line	:	4614 EDGEWARE RD APT 15
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92116-4762
Country	:	US
Telephone Number	:	973-255-9796
Fax Number	:

Provider Business Practice Location Address
First Line	:	4614 EDGEWARE RD APT 15
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92116-4762
Country	:	US
Telephone Number	:	973-255-9796
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	07/15/2025

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Directions to “ DR. BRIELLE SALAMONE ” Practice Location

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