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NPI Code Detail

MEDICARE: JIAN XAVIER SALAS

MEDICARE:   JIAN XAVIER SALAS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor9244-RCA

General Provider Information

NPI Number : 1851800155
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIAN XAVIER SALAS
Provider Business Mailing Address
First Line : 3828 W CARSON ST
Second Line :
City : TORRANCE
State : CA
Zip : 90503-6702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3828 W CARSON ST
Second Line :
City : TORRANCE
State : CA
Zip : 90503-6702
Country : US
Telephone Number : 310-787-1335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2017
Last Update Date : 11/04/2024

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Directions to “ JIAN XAVIER SALAS ” Practice Location

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