Healthcare Provider Details

I. General information

NPI: 1922754555
Provider Name (Legal Business Name): LENA M SILANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 E GARFORD ST APT 222
LONG BEACH CA
90815-2859
US

IV. Provider business mailing address

5050 E GARFORD ST APT 222
LONG BEACH CA
90815-2859
US

V. Phone/Fax

Practice location:
  • Phone: 818-510-1214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226000000X
TaxonomyRecreational Therapist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: