Provider Demographics
NPI:1902920648
Name:SALINAS, RUBEN SR (PT, DPT, OCS, CSCS)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:
Last Name:SALINAS
Suffix:SR
Gender:M
Credentials:PT, DPT, OCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21540 E. YORBA LINDA BLVD. SUITE A
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3765
Mailing Address - Country:US
Mailing Address - Phone:714-695-1566
Mailing Address - Fax:714-695-1553
Practice Address - Street 1:21540 E. YORBA LINDA BLVD. SUITE A
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3765
Practice Address - Country:US
Practice Address - Phone:714-695-1566
Practice Address - Fax:714-695-1553
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145232251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT14523BMedicare PIN