1487716635 NPI number — MS. ANA MARIA SALAZAR GUTIERREZ L.C.S.W.

Table of content: MS. ANA MARIA SALAZAR GUTIERREZ L.C.S.W. (NPI 1487716635)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487716635 NPI number — MS. ANA MARIA SALAZAR GUTIERREZ L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALAZAR GUTIERREZ
Provider First Name:
ANA
Provider Middle Name:
MARIA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SALAZAR
Provider Other First Name:
ANA
Provider Other Middle Name:
MARIA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.C.S.W.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1487716635
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13535 MURPHY HILL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITTIER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90601-4680
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-807-6155
Provider Business Mailing Address Fax Number:
562-807-6101

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12501E IMPERIAL HIGHWAY
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
NORWALK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-807-6100
Provider Business Practice Location Address Fax Number:
562-807-6101
Provider Enumeration Date:
12/14/2006

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: 1041C0700X , with the licence number:  LCS 14953 , 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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