Healthcare Provider Details

I. General information

NPI: 1114189248
Provider Name (Legal Business Name): DR DAVID SALSE DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W FOOTHILL BLVD
MONROVIA CA
91016-2171
US

IV. Provider business mailing address

116 W FOOTHILL BLVD
MONROVIA CA
91016-2171
US

V. Phone/Fax

Practice location:
  • Phone: 626-256-3422
  • Fax: 626-256-3402
Mailing address:
  • Phone: 626-256-3422
  • Fax: 626-256-3402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MICHAEL SALSE
Title or Position: CHRIOPRACTOR
Credential: DC
Phone: 626-256-3422