Individual
RODERICK SALVADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
10015 FRANCE AVE, TUJUNGA, CA 91042-2843
(818) 454-7128
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29278
CA
Other
Enumeration date
06/18/2015
Last updated
08/02/2024
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