Healthcare Provider Details

I. General information

NPI: 1194634287
Provider Name (Legal Business Name): MASON GERARD SALDANA LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 N. CENTRAL AVE SUITE 350
GLENDALE CA
91203
US

IV. Provider business mailing address

3010 WILSHIRE BLVD. PMB 435
LOS ANGELES CA
90010
US

V. Phone/Fax

Practice location:
  • Phone: 310-421-6503
  • Fax:
Mailing address:
  • Phone: 725-260-7368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: