Provider Demographics
NPI:1770809998
Name:SALONGA, ZORAIDA CUISON (MD)
Entity type:Individual
Prefix:
First Name:ZORAIDA
Middle Name:CUISON
Last Name:SALONGA
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 1:323 WELCOME ST
Mailing Address - Street 2:# 3
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-5565
Mailing Address - Country:US
Mailing Address - Phone:213-300-1344
Mailing Address - Fax:
Practice Address - Street 1:5830 OVERHILL DR
Practice Address - Street 2:SUITE 2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-2710
Practice Address - Country:US
Practice Address - Phone:323-291-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA483782084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice