Healthcare Provider Details

I. General information

NPI: 1962028936
Provider Name (Legal Business Name): SAL PSYCHIATRY SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

Provider Other Name: SAL PSYCHIATRY SERVICES P.C

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13132 STUDEBAKER RD STE 10
NORWALK CA
90650-2576
US

IV. Provider business mailing address

13132 STUDEBAKER RD STE 10
NORWALK CA
90650-2576
US

V. Phone/Fax

Practice location:
  • Phone: 989-475-2543
  • Fax:
Mailing address:
  • Phone: 562-280-7176
  • Fax: 562-262-0735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SALISU ADEJO AIKOYE
Title or Position: OWNER
Credential: MD
Phone: 989-475-2543