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General NPI Number Information
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NPI Number | 1144673575
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Entity Type | Individual
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Provider Name | SERGIO SALAZAR DPM
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Gender | Male
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 4825 TORRANCE BLVD STE 102
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City | TORRANCE
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State | CA
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Zip | 90503-4174
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Country | US
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Telephone | 310-214-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 4825 TORRANCE BLVD STE 102
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City | TORRANCE
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State | CA
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Zip | 90503-4174
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Country | US
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Telephone | 310-214-0088
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | P02475
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5532
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License Number State | CA
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