MEDICARE: DR. ANDREA CRISTINE SALCEDO DO, MPH

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	207V00000X	Obstetrics & Gynecology Physician	20A11241	CA

General Provider Information

NPI Number	:	1316274707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA CRISTINE SALCEDO DO, MPH

Provider Business Mailing Address
First Line	:	112 HARVARD AVE # 17
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711-4716
Country	:	US
Telephone Number	:	840-688-0297
Fax Number	:	909-365-6337

Provider Business Practice Location Address
First Line	:	112 HARVARD AVE # 17
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711-4716
Country	:	US
Telephone Number	:	840-688-0297
Fax Number	:	909-365-6337

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

Provider Enumeration Date	:	11/06/2009
Last Update Date	:	04/16/2026

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