Provider Demographics
NPI:1740926443
Name:SALGADO, MELISSA (MD)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:SALGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 N 10TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-4396
Mailing Address - Country:US
Mailing Address - Phone:760-783-1888
Mailing Address - Fax:760-783-1888
Practice Address - Street 1:2140 N 10TH ST APT 4
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-4396
Practice Address - Country:US
Practice Address - Phone:760-460-1957
Practice Address - Fax:760-783-1888
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11312799106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst