MEDICARE: EUFROCINA SALONGA

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	225XF0002X	Feeding, Eating & Swallowing Occupational Therapist	OT 401	CA
2	225XP0200X	Pediatric Occupational Therapist	OT 401	CA

General Provider Information

NPI Number	:	1821223819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUFROCINA SALONGA

Provider Business Mailing Address
First Line	:	2819 CROW CANYON RD
Second Line	:	SUITE 205
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1655
Country	:	US
Telephone Number	:	925-264-9810
Fax Number	:	925-263-1906

Provider Business Practice Location Address
First Line	:	2819 CROW CANYON RD
Second Line	:	SUITE 205
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1655
Country	:	US
Telephone Number	:	925-264-9810
Fax Number	:	925-263-1906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	07/03/2013

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Directions to “ EUFROCINA SALONGA ” Practice Location

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