=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912889346
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIE SALVADOR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/25/2025
-----------------------------------------------------
Last Update Date | 07/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16530 VENTURA BLVD STE 400
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91436-4551
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-514-5525
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 341603
-----------------------------------------------------
City | PACOIMA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91334-1603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 118426
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------