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NPI Code Detail

MEDICARE: CATALINA V SALDIVAR NONE

MEDICARE: CATALINA V SALDIVAR NONE
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
12472E0500XEEG Technician
2106S00000XBehavior Technician1995551CA

General Provider Information

NPI Number : 1659953495
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATALINA V SALDIVAR NONE
Provider Business Mailing Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number :
Provider Business Practice Location Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2021
Last Update Date : 03/10/2025

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