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NPI Code Detail

MEDICARE: ANDREW SALAZAR

MEDICARE: ANDREW SALAZAR
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
1171M00000XCase Manager/Care Coordinator
2225400000XRehabilitation Practitioner
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1184186330
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW SALAZAR
Provider Business Mailing Address
First Line : 2457 ENDICOTT ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90032-3047
Country : US
Telephone Number : 323-318-2520
Fax Number :
Provider Business Practice Location Address
First Line : 5335 CRANER AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-3313
Country : US
Telephone Number : 818-927-4045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 09/11/2025

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