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NPI Code Detail

MEDICARE: DR. HEATHER SHELANA SALTOS M.D.

MEDICARE: DR. HEATHER SHELANA SALTOS M.D.
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
12084P0804XChild & Adolescent Psychiatry PhysicianA127086CA
22084P0800XPsychiatry PhysicianA127086CA

General Provider Information

NPI Number : 1336408129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER SHELANA SALTOS M.D.
Provider Business Mailing Address
First Line : 6010 HIDDEN VALLEY RD STE 200
Second Line :
City : CARLSBAD
State : CA
Zip : 92011-4219
Country : US
Telephone Number : 619-432-0870
Fax Number :
Provider Business Practice Location Address
First Line : 354 SANTA FE DR
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-5182
Country : US
Telephone Number : 760-633-7840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2012
Last Update Date : 07/21/2023

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