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NPI Code Detail

MEDICARE: GLORIA CONSUELO SALGADO M.A.

MEDICARE: GLORIA CONSUELO SALGADO M.A.
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
1225400000XRehabilitation Practitioner
2106H00000XMarriage & Family TherapistLMFT87053CA

General Provider Information

NPI Number : 1871759514
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA CONSUELO SALGADO M.A.
Provider Business Mailing Address
First Line : 3910 OAKWOOD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3413
Country : US
Telephone Number : 323-953-7356
Fax Number : 323-661-7306
Provider Business Practice Location Address
First Line : 3910 OAKWOOD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3413
Country : US
Telephone Number : 323-953-7356
Fax Number : 323-661-7306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 05/10/2016

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