Healthcare Provider Details

I. General information

NPI: 1477684546
Provider Name (Legal Business Name): SILVIA ELEONORA RUBIO-DWIGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E OLIVE AVE SUITE 203
BURBANK CA
91502-1846
US

IV. Provider business mailing address

17613 ALORA AVE
CERRITOS CA
90703-5526
US

V. Phone/Fax

Practice location:
  • Phone: 818-973-4899
  • Fax: 818-973-4888
Mailing address:
  • Phone: 562-403-0066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: