Healthcare Provider Details

I. General information

NPI: 1083730337
Provider Name (Legal Business Name): MS. MARIA SALAZAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 E 6TH ST
LOS ANGELES CA
90021-1028
US

IV. Provider business mailing address

7109 FISHBURN AVE
BELL CA
90201-3585
US

V. Phone/Fax

Practice location:
  • Phone: 213-623-8446
  • Fax:
Mailing address:
  • Phone: 323-422-8886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number80632
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: