DR. LAVORIAL SALONE


Address: 3636 4th Ave, Ste 302, San Diego, CA 92103-4294
Phone: 7605997085

DR. LAVORIAL SALONE (NPI# 1437103868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437103868
Entity Type Individual
Full Name DR. LAVORIAL SALONE
Credential PHD
Practice Address 3636 4th Ave
Ste 302
San Diego
CA 92103-4294
Mailing Address 200 N El Camino Real
Spc 65
Oceanside
CA 92058-1781
Practice Telephone 7605997085
Practice Fax Number 7605995820
Mailing Telephone 7605997085
Mailing Fax Number 7605995820
Enumeration Date 2006-05-20
Last Update Date 2017-07-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY18777 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RAILROAD P00290777 01
CA PSY187770 05
CA RAILROAD WCP18777A 01

Office Location

Street Address 3636 4TH AVE
STE 302
City SAN DIEGO
State CA
Zip Code 92103-4294

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770575599 Melonie Gale Counselor 3636 4th Ave, Suite 210, San Diego, CA 92103-4280 2005-08-17
1053936989 Arturo Beltran Hearing Instrument Specialist 3636 4th Ave, San Diego, CA 92103-4280 2020-06-16
1114439643 Genevieve Gonzales Social Worker 3636 4th Ave, Ste 302, San Diego, CA 92103-4294 2017-10-24
1043616121 Genuine Psychological Services Psychologist 3636 4th Ave, Suite 304, San Diego, CA 92103-4280 2014-11-17
1225464407 Influx Psychological Services, Inc. Psychologist 3636 4th Ave, Ste 302, San Diego, CA 92103-4280 2013-09-19
1679875520 Mark Lytle Associates A Psychology Corporation Psychologist 3636 4th Ave, #302, San Diego, CA 92103-4280 2010-11-29
1285854935 Charles Philip Sanders Chiropractor 3636 4th Ave, #200, San Diego, CA 92103-4280 2007-04-26
1750508537 Thomas John Barnes Psychologist 3636 4th Ave, Suite 304, San Diego, CA 92103-4280 2007-04-20
1427131275 Craig Robert Wiese Psychologist 3636 4th Ave, Suite 302, San Diego, CA 92103-4280 2006-10-23
1245251073 Robert Alexander Simon Psychologist 3636 4th Ave, Suite 210, San Diego, CA 92103-4280 2006-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1396353520 Chandra Estelle Khalifian Psychologist 4975 Foothill Blvd, San Diego, CA 92109-2236 2020-07-14
1225661838 Sharon Saeedi Psy D Psychologist Inc Psychologist 185 W F St Ste 100l, San Diego, CA 92101-6029 2020-02-21
1609414242 Laura Beth Fitzpatrick Psychologist 3322 29th St, San Diego, CA 92104-4533 2019-12-13
1790329613 Growgood Psychology, Corp Psychologist 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 2019-11-04
1891355996 Stephanie Ann Massey Psychologist 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 2019-06-19
1225697543 Dr. Emily N. Kierce, Psychologist, A Professional Corporation Psychologist 402 W Broadway Ste 1925, San Diego, CA 92101-8505 2019-06-10
1023674884 Desiree Arlene Cuevas Psychologist 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 2019-05-16
1396212023 Paul William Randolph Psychologist 727 Robinson Ave Apt D, San Diego, CA 92103-4364 2018-10-31
1952876526 Amanda Cooney Psychologist 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 2018-10-09
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Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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