Individual ProviderVincent SalaveriaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3701 Stocker St, Los Angeles, CA 90008-5108(323) 359-4996PECOS EnrollmentBased on the most recent information from CMS, provider Vincent Salaveria does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548490170Provider TypeIndividualFull NameSalaveria, VincentTitleMr.GenderMaleSole ProprietorNoEnumeration Date7/16/2009Last Updated7/16/2009Contact InformationPractice LocationPractice Address3701 Stocker St, Los Angeles, CA 90008-5108Phone(323) 359-4996FaxUnlisted FaxMailing LocationMailing AddressPO Box 29242, Los Angeles, CA 90029-0242Phone(323) 359-4996FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense59954California