Provider Demographics
NPI:1962423467
Name:SALATINJANTS, AIDA (MD)
Entity type:Individual
Prefix:MRS
First Name:AIDA
Middle Name:
Last Name:SALATINJANTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13132 STUDEBAKER ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650
Mailing Address - Country:US
Mailing Address - Phone:562-406-7070
Mailing Address - Fax:562-406-7066
Practice Address - Street 1:13132 STUDEBAKER ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650
Practice Address - Country:US
Practice Address - Phone:562-406-7070
Practice Address - Fax:714-406-7066
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA42323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A423231Medicaid
CAA42323Medicaid
CAA42323Medicaid
CAA42323AMedicare PIN