Healthcare Provider Details
I. General information
NPI: 1447595574
Provider Name (Legal Business Name): CHAD SILA M D A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2012
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14608 HAWTHORNE BLVD
LAWNDALE CA
90260-1521
US
IV. Provider business mailing address
PO BOX 80869
CITY OF INDUSTRY CA
91716-8420
US
V. Phone/Fax
- Phone: 310-978-4970
- Fax: 310-978-8668
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | A108292 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0203X |
| Taxonomy | Radiation Oncology Clinic/Center |
| License Number | A108292 |
| License Number State | CA |
VIII. Authorized Official
Name:
CHAD
SILA
Title or Position: PHYSICIAN
Credential: MD
Phone: 310-978-4970