Provider Demographics
NPI:1316512296
Name:SALAMAT, MARLON C (ADMINISTRATOR)
Entity type:Individual
Prefix:
First Name:MARLON
Middle Name:C
Last Name:SALAMAT
Suffix:
Gender:M
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 SUNFLOWER AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-6182
Mailing Address - Country:US
Mailing Address - Phone:626-497-6500
Mailing Address - Fax:
Practice Address - Street 1:1715 SUNFLOWER AVE APT 1
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-6182
Practice Address - Country:US
Practice Address - Phone:626-497-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YR1600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationRegistered Record Administrator
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based