Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | C42070 | CA |
NPI | 1114992815 |
---|---|
Provider Name | Dr. Konstantin Salkinder |
First Address | Los Angeles, CA 90048-5225 |
Second Address | Los Angeles, CA 90048-5225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 19/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A88293 | (02) |