Provider Demographics
NPI:1255135018
Name:JONATHAN R SALUTA MD INC
Entity type:Organization
Organization Name:JONATHAN R SALUTA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALUTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-999-4809
Mailing Address - Street 1:24510 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6824
Mailing Address - Country:US
Mailing Address - Phone:310-999-4809
Mailing Address - Fax:856-263-2872
Practice Address - Street 1:24510 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6824
Practice Address - Country:US
Practice Address - Phone:310-999-4809
Practice Address - Fax:856-263-2872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty