Salazar, Juvy S

Salazar, Juvy S is an sole proprietor health care provider with primary practice located at 12760 Hesperia Rd #C, Victorville CA 92395. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Salazar, Juvy S can be contacted via phone (760) 241-8088.

Contact Information

Primary practice address
12760 Hesperia Rd #C Victorville CA 92395
Fax: (760) 241-8803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A56175 California

Profile Details

NPI number 1205848140
LBN Legal business name Salazar, Juvy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205848140 NPPES
California Other A56175 DEPT OF CONSUMER AFFAIR
California MEDICAID 00A561751 DEPT OF CONSUMER AFFAIR

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