Healthcare Provider Details

I. General information

NPI: 1457218877
Provider Name (Legal Business Name): DAVID SALVADOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38433 ANSET DR
PALMDALE CA
93551-4595
US

IV. Provider business mailing address

14504 FORTUNA LN
PANORAMA CITY CA
91402-6985
US

V. Phone/Fax

Practice location:
  • Phone: 818-602-1134
  • Fax:
Mailing address:
  • Phone: 818-602-1134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number197601809
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: