Healthcare Provider Details

I. General information

NPI: 1942111919
Provider Name (Legal Business Name): AISHA OYINKANSOLA SALAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 GALILEO CT STE 101
DAVIS CA
95618-4882
US

IV. Provider business mailing address

801 J ST APT 50
DAVIS CA
95616-2305
US

V. Phone/Fax

Practice location:
  • Phone: 530-220-1450
  • Fax:
Mailing address:
  • Phone: 209-319-7723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: