MEDICARE: MRS. FLORIMAE PAIMALAN SALANDANAN

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	136A00000X	Registered Dietetic Technician

General Provider Information

NPI Number	:	1306713417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FLORIMAE PAIMALAN SALANDANAN

Provider Business Mailing Address
First Line	:	510 17TH ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-1553
Country	:	US
Telephone Number	:	510-502-7920
Fax Number	:

Provider Business Practice Location Address
First Line	:	3645 SAN PABLO DAM RD
Second Line	:
City	:	EL SOBRANTE
State	:	CA
Zip	:	94803-2729
Country	:	US
Telephone Number	:	510-502-7920
Fax Number	:

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

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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Directions to “ MRS. FLORIMAE PAIMALAN SALANDANAN ” Practice Location

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