Healthcare Provider Details

I. General information

NPI: 1962313445
Provider Name (Legal Business Name): MICHAEL ALAN SALCE LEP, PPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5826 FRIENDS AVE
WHITTIER CA
90601-3722
US

IV. Provider business mailing address

7140 MONTEREY ST
LA VERNE CA
91750-1020
US

V. Phone/Fax

Practice location:
  • Phone: 909-964-7467
  • Fax:
Mailing address:
  • Phone: 909-964-7467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number2841
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: