1831371277 NPI number — MR. NORMAN ANTONIO SALGUERO MFTI

Table of content: MR. NORMAN ANTONIO SALGUERO MFTI (NPI 1831371277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831371277 NPI number — MR. NORMAN ANTONIO SALGUERO MFTI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALGUERO
Provider First Name:
NORMAN
Provider Middle Name:
ANTONIO
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MFTI
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831371277
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3400 E HARDING ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONG BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90805-3823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-252-4588
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12440 FIRESTONE BLVD
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
NORWALK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90650-4328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-929-4308
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 59860 . This is a "BOARD OF BEHAVIORAL SERVICES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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