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NPI Code Detail

MEDICARE: KRISTIAN NOGUCHI-SALAZAR

MEDICARE: KRISTIAN NOGUCHI-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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1902448400
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIAN NOGUCHI-SALAZAR
Provider Business Mailing Address
First Line : 3305 RICE ST
Second Line :
City : MIAMI
State : FL
Zip : 33133-5216
Country : US
Telephone Number : 305-792-8393
Fax Number : 305-444-1523
Provider Business Practice Location Address
First Line : 1335 N LA BREA AVE STE 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7565
Country : US
Telephone Number : 310-246-1050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2019
Last Update Date : 12/03/2021

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Directions to “ KRISTIAN NOGUCHI-SALAZAR ” Practice Location

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