Provider Demographics
NPI:1477524601
Name:SALAZAR, ALMA ROSA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALMA
Middle Name:ROSA
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9041 MAGNOLIA AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3900
Mailing Address - Country:US
Mailing Address - Phone:951-688-0361
Mailing Address - Fax:951-688-6812
Practice Address - Street 1:9041 MAGNOLIA AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3900
Practice Address - Country:US
Practice Address - Phone:951-688-0361
Practice Address - Fax:951-688-6812
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2011-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA64482208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A644820Medicaid