Healthcare Provider Details

I. General information

NPI: 1780703330
Provider Name (Legal Business Name): LINDA CHRISTINE SALAZAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5628 E SLAUSON AVE
COMMERCE CA
90040
US

IV. Provider business mailing address

655 DEEP VALLEY DR STE 125C
ROLLING HILLS ESTATES CA
90274-3615
US

V. Phone/Fax

Practice location:
  • Phone: 323-318-9960
  • Fax:
Mailing address:
  • Phone: 310-490-6475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA70814
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA70814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: