Provider Demographics
NPI:1588027940
Name:SALADO, MARIA ESTHER
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ESTHER
Last Name:SALADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 W BEVERLY BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-3967
Mailing Address - Country:US
Mailing Address - Phone:323-888-2020
Mailing Address - Fax:323-888-1090
Practice Address - Street 1:1818 W BEVERLY BLVD
Practice Address - Street 2:STE 105
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3967
Practice Address - Country:US
Practice Address - Phone:323-888-2020
Practice Address - Fax:323-888-1090
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-03
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33396152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist