MEDICARE: FRANCISCO JAVIER SALGADO

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	237700000X	Hearing Instrument Specialist	HA2832	CA

General Provider Information

NPI Number	:	1386168839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO JAVIER SALGADO

Provider Business Mailing Address
First Line	:	11601 ARGUELLO DR
Second Line	:
City	:	MIRA LOMA
State	:	CA
Zip	:	91752-3032
Country	:	US
Telephone Number	:	760-240-5700
Fax Number	:	760-240-7900

Provider Business Practice Location Address
First Line	:	19083 BEAR VALLEY RD STE 3
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-2719
Country	:	US
Telephone Number	:	760-240-5700
Fax Number	:	760-240-7900

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

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/26/2017

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