Healthcare Provider Details

I. General information

NPI: 1952797607
Provider Name (Legal Business Name): SILVIA MARIA CAAMAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9829 CARMENITA RD
WHITTIER CA
90605
US

IV. Provider business mailing address

10984 DAVENRICH ST
SANTA FE SPRINGS CA
90670-3518
US

V. Phone/Fax

Practice location:
  • Phone: 562-907-7429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number83798
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: