Provider Demographics
NPI:1316624257
Name:SALADO AND SPRENKEL OPTOMETRIC PARTNERSHIP
Entity type:Organization
Organization Name:SALADO AND SPRENKEL OPTOMETRIC PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:SALADO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:323-205-8686
Mailing Address - Street 1:11552 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-3110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11552 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-3110
Practice Address - Country:US
Practice Address - Phone:562-868-2418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty