Provider Demographics
NPI:1891816591
Name:SALAZAR, LINDA
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:SALAZAR
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 1:13741 FOOTHILL BLVD
Mailing Address - Street 2:SUITE #240
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3133
Mailing Address - Country:US
Mailing Address - Phone:818-833-9789
Mailing Address - Fax:818-833-9790
Practice Address - Street 1:13741 FOOTHILL BLVD
Practice Address - Street 2:SUITE #240
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3133
Practice Address - Country:US
Practice Address - Phone:818-833-9789
Practice Address - Fax:818-833-9790
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program