Provider Demographics
NPI:1225503543
Name:SALAS, MIGUEL ANGEL (NATUROPATHIC DOCTOR)
Entity Type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:ANGEL
Last Name:SALAS
Suffix:
Gender:M
Credentials:NATUROPATHIC DOCTOR
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:SALAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10315 WOODLEY AVE.
Mailing Address - Street 2:SUITE 103 & 104
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344
Mailing Address - Country:US
Mailing Address - Phone:818-488-9551
Mailing Address - Fax:
Practice Address - Street 1:10315 WOODLEY AVE.
Practice Address - Street 2:SUITE 103 & 104
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344
Practice Address - Country:US
Practice Address - Phone:818-488-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-13
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath