Provider Demographics
NPI:1871774828
Name:SALGADO, LIZET A
Entity type:Individual
Prefix:
First Name:LIZET
Middle Name:A
Last Name:SALGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S ANAHEIM BLVD
Mailing Address - Street 2:271
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2931
Mailing Address - Country:US
Mailing Address - Phone:714-517-1900
Mailing Address - Fax:714-517-6995
Practice Address - Street 1:50 S ANAHEIM BLVD
Practice Address - Street 2:271
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2931
Practice Address - Country:US
Practice Address - Phone:714-517-1900
Practice Address - Fax:714-517-6995
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator