Healthcare Provider Details

I. General information

NPI: 1972037737
Provider Name (Legal Business Name): GENNY SALGADO CHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3951 VAN BUREN BLVD
RIVERSIDE CA
92503-3620
US

IV. Provider business mailing address

3951 VAN BUREN BLVD
RIVERSIDE CA
92503-3620
US

V. Phone/Fax

Practice location:
  • Phone: 866-883-1109
  • Fax:
Mailing address:
  • Phone: 866-883-0119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: