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Individual

ADOLFO SALCIDO II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 365-9531
Mailing address
1629 W AVENUE J, STE 106, LANCASTER, CA 93534-2851
(661) 254-2864
(661) 288-7903

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19435
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA19435
CA LICENSE
CA
05
PA19435
CA
Enumeration date
11/15/2007
Last updated
05/31/2018
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