Individual
WALTER SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1100 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5807
(626) 851-5144
Mailing address
1800 WINONA BLVD APT 7, LOS ANGELES, CA 90027-3805
(323) 979-8978
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT34111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4236
4236
—
Enumeration date
06/19/2019
Last updated
06/19/2019
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