Provider Demographics
NPI:1265466221
Name:PLANO, SALVATORE J JR (DC)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:J
Last Name:PLANO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 WESTERN AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-2654
Mailing Address - Country:US
Mailing Address - Phone:714-994-5242
Mailing Address - Fax:714-994-2687
Practice Address - Street 1:7921 WESTERN AVE
Practice Address - Street 2:SUITE F
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-2654
Practice Address - Country:US
Practice Address - Phone:714-994-5242
Practice Address - Fax:714-994-2687
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC19947AMedicare ID - Type Unspecified
CAT91737Medicare UPIN