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NPI Code Detail

MEDICARE: SOPHIA SALAZAR

MEDICARE: SOPHIA SALAZAR
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
11041C0700XClinical Social Worker117389CA

General Provider Information

NPI Number : 1396320115
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA SALAZAR
Provider Business Mailing Address
First Line : 5603 S CENTRAL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5967
Country : US
Telephone Number : 323-432-3700
Fax Number :
Provider Business Practice Location Address
First Line : 5603 S CENTRAL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5967
Country : US
Telephone Number : 323-432-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2021
Last Update Date : 08/15/2023

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Directions to “ SOPHIA SALAZAR ” Practice Location

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