Provider Demographics
NPI:1821150913
Name:SALIT, RICHARD M (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:SALIT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3337 MOUNTAIN PARK DR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2391
Mailing Address - Country:US
Mailing Address - Phone:818-223-9897
Mailing Address - Fax:818-225-5905
Practice Address - Street 1:6333 WILSHIRE BLVD STE 409
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5722
Practice Address - Country:US
Practice Address - Phone:323-653-7700
Practice Address - Fax:323-653-6409
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2020-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG17297207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40042Medicare UPIN
CABK0002Medicare PIN