Isidro Benjamin Salusky

M.D. | Pediatric Nephrology | Male

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Complete Profile:

Isidro Benjamin Salusky basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Isidro Benjamin Salusky
Credential :	M.D.
Gender :	Male

Business Address:

Isidro Benjamin Salusky address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	10833 Le Conte Ave, 12-441 Mdcc Los Angeles, CA, 90095-3075 United States
Phone Number :	310-206-3952
Fax Number :	310-206-0209

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1861501546
NPI Entity Type :	Individual
First Enrolment Date :	29 Aug, 2006
Last Updated On :	09 Dec, 2011

Medicare Participation:

Isidro Benjamin Salusky participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9234301755
Medicare Enrollment ID :	I20111005000693
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1971
Accepts Medicare?	Yes. Isidro Benjamin Salusky accepts medicare insurance.

Group Practice Association:

Isidro Benjamin Salusky is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Isidro Benjamin Salusky is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Uc Regents	4587568829	73	200 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	300 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	10833 Leconte Ave Los Angeles, CA - 900953075 Ph: 3108259124	Yes
Uc Regents	4587568829	73	10833 Le Conte Ave Los Angeles, CA - 900953075	Yes
Uc Regents	4587568829	73	757 Westwood Plaza Ucla Dept Of Ped Grp Los Angeles, CA - 900958358 Ph: 3108258021	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Isidro Benjamin Salusky are as mentioned. Primary taxonomy code for Isidro Benjamin Salusky, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	A40549	CA

Legacy Identifiers:

Other legacy medical identifiers of Isidro Benjamin Salusky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
GR0053510	MEDICAID	CA
00A405490	MEDICAID	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5767 W Century Blvd, Suite 400 Los Angeles, CA, 90045-5631 United States
Phone Number :	310-206-3952

Business Location:

Patients can refer following map for directions to Isidro Benjamin Salusky practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.