Provider Demographics
NPI:1538117338
Name:SALZMAN, HOLLY MCMANUS (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:MCMANUS
Last Name:SALZMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9909 MIRA MESA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1056
Mailing Address - Country:US
Mailing Address - Phone:858-657-7750
Mailing Address - Fax:858-566-2431
Practice Address - Street 1:200 WEST ARBOR DRIVE
Practice Address - Street 2:MC 8201 UCSD MEDICAL CENTER
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8201
Practice Address - Country:US
Practice Address - Phone:858-657-7750
Practice Address - Fax:619-543-3183
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG061158207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G611580Medicaid
CAWG61158BMedicare ID - Type Unspecified
CA00G611580Medicaid