Provider Demographics
NPI:1821178500
Name:SALOPEK, ALBERT (LAC ATC)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:SALOPEK
Suffix:
Gender:M
Credentials:LAC ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 BUSH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5521
Mailing Address - Country:US
Mailing Address - Phone:650-787-1119
Mailing Address - Fax:415-567-3090
Practice Address - Street 1:1440 BUSH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5521
Practice Address - Country:US
Practice Address - Phone:650-787-1119
Practice Address - Fax:415-567-3090
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12204171100000X
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer