Provider Demographics
NPI:1316902166
Name:SALCEDO, ANGELA ISABEL (DC)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ISABEL
Last Name:SALCEDO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 S ARLINGTON MILL DR
Mailing Address - Street 2:UNIT 814
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3400
Mailing Address - Country:US
Mailing Address - Phone:703-999-7250
Mailing Address - Fax:
Practice Address - Street 1:1712 EYE ST NW
Practice Address - Street 2:SUITE 505
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3702
Practice Address - Country:US
Practice Address - Phone:202-296-8817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCH30015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA470904808OtherTAX ID NUMBER