Provider Demographics
NPI:1801500327
Name:OREFICE, SALVATORE M
Entity type:Individual
Prefix:
First Name:SALVATORE
Middle Name:M
Last Name:OREFICE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 N DEL MAR AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-2225
Mailing Address - Country:US
Mailing Address - Phone:626-482-8144
Mailing Address - Fax:
Practice Address - Street 1:515 N DEL MAR AVE
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775-2225
Practice Address - Country:US
Practice Address - Phone:626-482-8144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer