Individual
MRS. SUSAN SALZWEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5522 SEPULVEDA BLVD, SHERMAN OAKS, CA 91411-3437
(818) 990-5020
(818) 990-8549
Mailing address
PO BOX 845996, LOS ANGELES, CA 90084-5996
(858) 888-7700
(858) 221-5014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA14060
CA
363AS0400X
Surgical Physician Assistant
Primary
PA14060
CA
363L00000X
Nurse Practitioner
NP014060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13578042
CAQH
—
01
—
NP014060
MEDICAL LICENSE
CA
Enumeration date
02/27/2007
Last updated
03/07/2023
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