MEDICARE: MARIANA V SALERNO MD

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	207R00000X	Internal Medicine Physician	249673	NY
2	207R00000X	Internal Medicine Physician	A131021	CA

General Provider Information

NPI Number	:	1598921645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANA V SALERNO MD

Provider Business Mailing Address
First Line	:	5532 EL CAJON BLVD STE 1
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3642
Country	:	US
Telephone Number	:	619-286-1426
Fax Number	:	619-286-1441

Provider Business Practice Location Address
First Line	:	5532 EL CAJON BLVD STE 1
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3642
Country	:	US
Telephone Number	:	619-286-1426
Fax Number	:	619-286-1441

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

Provider Enumeration Date	:	07/29/2008
Last Update Date	:	05/09/2017

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