Salgado, Enrique

Salgado, Enrique is an sole proprietor health care provider with primary practice located at 4149 Tweedy Blvd , South Gate CA 90280-6167. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Salgado, Enrique can be contacted via phone (323) 204-0915.

Contact Information

Primary practice address
4149 Tweedy Blvd South Gate CA 90280-6167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 69539 California

Profile Details

NPI number 1912467267
LBN Legal business name Salgado, Enrique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2019
Last updated Mar 22nd, 2019 - about 6 years ago

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 1912467267 NPPES
California MEDICAID 69539

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