MEDICARE: JAANA SALONSAARI

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	363LA2200X	Adult Health Nurse Practitioner	95001249	CA
2	363LG0600X	Gerontology Nurse Practitioner	95001249	CA

General Provider Information

NPI Number	:	1568863348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAANA SALONSAARI

Provider Business Mailing Address
First Line	:	2017 S SHENANDOAH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-1218
Country	:	US
Telephone Number	:	323-855-0396
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 S SHENANDOAH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-1218
Country	:	US
Telephone Number	:	323-855-0396
Fax Number	:

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

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	09/11/2014

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Directions to “ JAANA SALONSAARI ” Practice Location

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