MEDICARE: VICTOR M SALCEDO 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	207Q00000X	Family Medicine Physician	60850555	WA
2	202K00000X	Phlebology Physician	60850555	WA

General Provider Information

NPI Number	:	1952698862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR M SALCEDO MD

Provider Business Mailing Address
First Line	:	8129 LAKE BALLINGER WAY UNIT 105
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-9182
Country	:	US
Telephone Number	:	206-865-0193
Fax Number	:	206-238-2749

Provider Business Practice Location Address
First Line	:	8129 LAKE BALLINGER WAY UNIT 105
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-9182
Country	:	US
Telephone Number	:	206-865-0193
Fax Number	:	206-238-2749

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

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	02/07/2025

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