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NPI Code Detail

MEDICARE: ANNA E SALAS

MEDICARE: ANNA E SALAS
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
1171M00000XCase Manager/Care Coordinator
2172V00000XCommunity Health Worker
3175T00000XPeer SpecialistMPSS-NTWSPGCA

General Provider Information

NPI Number : 1538729728
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA E SALAS
Provider Business Mailing Address
First Line : 7601 CANBY AVE STE 3
Second Line :
City : RESEDA
State : CA
Zip : 91335-2979
Country : US
Telephone Number : 818-921-3466
Fax Number :
Provider Business Practice Location Address
First Line : 7601 CANBY AVE STE 3
Second Line :
City : RESEDA
State : CA
Zip : 91335-2979
Country : US
Telephone Number : 818-921-3466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 10/31/2023

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Directions to “ ANNA E SALAS ” Practice Location

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