1891973095 NPI number — DR. SALINA SANCHEZ ASIDERA DDS

Table of content: DR. SALINA SANCHEZ ASIDERA DDS (NPI 1891973095)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891973095 NPI number — DR. SALINA SANCHEZ ASIDERA DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASIDERA
Provider First Name:
SALINA
Provider Middle Name:
SANCHEZ
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

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:
1891973095
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20848 SARDINIA WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHRIDGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91326-4403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-642-7295
Provider Business Mailing Address Fax Number:
818-739-9703

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7214 CANOGA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CANOGA PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91303-1627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-642-7295
Provider Business Practice Location Address Fax Number:
818-739-9703
Provider Enumeration Date:
02/11/2008

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: 122300000X , with the licence number:  55992 , 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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