Provider Demographics
NPI:1760661268
Name:SALAZAR, MIGUEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:
Last Name:SALAZAR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 3000
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-2428
Mailing Address - Country:US
Mailing Address - Phone:323-685-8555
Mailing Address - Fax:310-933-1409
Practice Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 3000
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2428
Practice Address - Country:US
Practice Address - Phone:323-685-8555
Practice Address - Fax:310-933-1409
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94132207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease