Provider Demographics
NPI:1134154107
Name:SALTMAN, RONALD A (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
Last Name:SALTMAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10628 RIVERSIDE DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2373
Mailing Address - Country:US
Mailing Address - Phone:818-508-6188
Mailing Address - Fax:818-508-8405
Practice Address - Street 1:10628 RIVERSIDE DR
Practice Address - Street 2:SUITE 5
Practice Address - City:TOLUCA LAKE
Practice Address - State:CA
Practice Address - Zip Code:91602-2373
Practice Address - Country:US
Practice Address - Phone:818-508-6188
Practice Address - Fax:818-508-8405
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13663111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC13663Medicare ID - Type Unspecified
CAT17565Medicare UPIN