MEDICARE: MRS. MARIA DE LA CRUZ SALINAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1144347865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA DE LA CRUZ SALINAS

Provider Business Mailing Address
First Line	:	222 S HILL ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-3506
Country	:	US
Telephone Number	:	213-458-9075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1327 W 101ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-1803
Country	:	US
Telephone Number	:	310-466-9946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/06/2023

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