Provider Demographics
NPI:1821357955
Name:SALCIDO, CLAUDIA LORENA (PA-C)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LORENA
Last Name:SALCIDO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:124 E OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5250
Mailing Address - Country:US
Mailing Address - Phone:909-798-9403
Mailing Address - Fax:909-335-1641
Practice Address - Street 1:31755 DATE PALM DR STE M
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-3101
Practice Address - Country:US
Practice Address - Phone:760-770-3399
Practice Address - Fax:760-770-3366
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2019-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA22110363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant