Healthcare Provider Details

I. General information

NPI: 1932318672
Provider Name (Legal Business Name): FRANK SALAMONE LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 03/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N CROFT AVE UNIT 8
LOS ANGELES CA
90048-3470
US

IV. Provider business mailing address

105 N CROFT AVE SUITE 8
LOS ANGELES CA
90048-3426
US

V. Phone/Fax

Practice location:
  • Phone: 323-934-1046
  • Fax:
Mailing address:
  • Phone: 323-934-1046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberLCS22431
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS22431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: