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NPI Code Detail

MEDICARE: TOMAS SALAZAR

MEDICARE: TOMAS SALAZAR
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1811758030
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMAS SALAZAR
Provider Business Mailing Address
First Line : 1909 UNIVERSITY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94704-1023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1909 UNIVERSITY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94704-1023
Country : US
Telephone Number : 510-809-3004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2024
Last Update Date : 01/16/2024

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Directions to “ TOMAS SALAZAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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