Healthcare Provider Details

I. General information

NPI: 1730176454
Provider Name (Legal Business Name): SARA SALTZSTEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL CAMP PENDLETON DEPARTMENT OF SPORTS MEDICINE H100 SANTA MARGARITA ROAD
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

450 N HORNE ST UNIT E-41
OCEANSIDE CA
92054-2585
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-7029
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA63827
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberA63827
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberA63827
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: