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NPI Code Detail

MEDICARE: REBECCA TALKIN SALAMO MD

MEDICARE:   REBECCA TALKIN SALAMO  MD
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
12084P0804XChild & Adolescent Psychiatry PhysicianA176335CA
22084P0800XPsychiatry PhysicianA176335CA

General Provider Information

NPI Number : 1770045304
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA TALKIN SALAMO MD
Provider Business Mailing Address
First Line : 12337 SEAL BEACH BLVD # 1057
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-2708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2512 ARTESIA BLVD STE 320
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-3282
Country : US
Telephone Number : 424-277-2899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 04/22/2025

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Directions to “ REBECCA TALKIN SALAMO MD” Practice Location

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