=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992992481
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. FRANCISCO SALCEDO MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2007
-----------------------------------------------------
Last Update Date | 09/27/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2650 TUOLUMNE ST
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93721-1227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-266-0759
-----------------------------------------------------
Fax | 559-266-5491
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2650 TUOLUMNE ST
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93721-1227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-266-0759
-----------------------------------------------------
Fax | 559-266-5491
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. FRANCISCO SALCEDO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 559-266-0759
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------