1851730824 NPI number — DR. GINGER SCHWARTZ SALTZGABER PSY.D.

Table of content: DR. GINGER SCHWARTZ SALTZGABER PSY.D. (NPI 1851730824)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851730824 NPI number — DR. GINGER SCHWARTZ SALTZGABER PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALTZGABER
Provider First Name:
GINGER
Provider Middle Name:
SCHWARTZ
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHWARTZ
Provider Other First Name:
GINGER
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSY.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1851730824
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2035 WESTWOOD BLVD
Provider Second Line Business Mailing Address:
SUITE 206
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90025-6332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-207-5098
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2035 WESTWOOD BLVD
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90025-6332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-207-5098
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2013

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: 103TC0700X , with the licence number:  PSY25748 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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