MEDICARE: NORMA C SALCEDA, M.D. INC.

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	00A332440	OTHER	CA	BLUE SHIELD
2	05D0963456	OTHER	CA	CLIA NUMBER
3	A33244	OTHER	CA	CALIF. MEDICAL LICENSE

General Provider Information

NPI Number	:	1659477255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORMA C SALCEDA, M.D. INC.

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	:	323-733-1975

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	:	323-733-1975

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NORMA C. SALCEDA
Credential	:	M.D.
Telephone Number	:	323-733-1885

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/31/2020

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