Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | G26300 | CA |
NPI | 1033129820 |
---|---|
Provider Name | Dr. Charles Salinger, Inc |
First Address | La Mirada, CA 90638 |
Second Address | La Mirada, CA 90638-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 24/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A42969 | (02) |