Provider Demographics
NPI:1821223819
Name:SALONGA, EUFROCINA
Entity type:Individual
Prefix:
First Name:EUFROCINA
Middle Name:
Last Name:SALONGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2819 CROW CANYON RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1655
Mailing Address - Country:US
Mailing Address - Phone:925-264-9810
Mailing Address - Fax:925-263-1906
Practice Address - Street 1:2819 CROW CANYON RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1655
Practice Address - Country:US
Practice Address - Phone:925-264-9810
Practice Address - Fax:925-263-1906
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 401225XF0002X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing