MEDICARE: ANGELO SALINAS SA-C

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	246ZC0007X	Surgical Assistant	25-336	NV

General Provider Information

NPI Number	:	1366329120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELO SALINAS SA-C

Provider Business Mailing Address
First Line	:	8816 FALL GREEN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7068
Country	:	US
Telephone Number	:	516-549-4781
Fax Number	:

Provider Business Practice Location Address
First Line	:	8816 FALL GREEN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7068
Country	:	US
Telephone Number	:	516-549-4781
Fax Number	:

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

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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Directions to “ ANGELO SALINAS SA-C” Practice Location

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