MEDICARE: GARRETT SALZMAN 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
1	208600000X	Surgery Physician	A165194	CA

General Provider Information

NPI Number	:	1841740750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARRETT SALZMAN MD

Provider Business Mailing Address
First Line	:	10833 LE CONTE AVE
Second Line	:	72-227 CHS
City	:	LOS ANGELES
State	:	CA
Zip	:	90095
Country	:	US
Telephone Number	:	929-131-0206
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 WESTWOOD PLZ
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-2732
Country	:	US
Telephone Number	:	310-825-9111
Fax Number	:

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

Provider Enumeration Date	:	10/04/2016
Last Update Date	:	08/07/2023

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