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NPI Code Detail

MEDICARE: MAYRA LUZ SALAZAR- PRADO

MEDICARE: MAYRA LUZ SALAZAR- PRADO
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
11041C0700XClinical Social Worker137675CA

General Provider Information

NPI Number : 1437662251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA LUZ SALAZAR- PRADO
Provider Business Mailing Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 408-440-7316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2017
Last Update Date : 04/07/2026

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Directions to “ MAYRA LUZ SALAZAR- PRADO ” Practice Location

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