MEDICARE: DR. NORMA C SALCEDA M.D.

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	207V00000X	Obstetrics & Gynecology Physician	A33244	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05D0981362	OTHER	CA	CLIA NUMBER
2	00A332440	OTHER	CA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	05D0963456	OTHER	CA	CLIA NUMBER
5	05D0971062	OTHER	CA	CLIA NUMBER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	A33244	OTHER	CA	CALIF. MEDICAL LICENSE
9	05D0971061	OTHER	CA	CLIA NUMBER

General Provider Information

NPI Number	:	1336245802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMA C SALCEDA M.D.

Provider Business Mailing Address
First Line	:	1535 S WESTERN AVE STE G
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-4200
Country	:	US
Telephone Number	:	310-839-4381
Fax Number	:	310-815-2091

Provider Business Practice Location Address
First Line	:	1535 S WESTERN AVE STE G
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-4200
Country	:	US
Telephone Number	:	310-839-4381
Fax Number	:	310-815-2091

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	12/08/2021

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