Healthcare Provider Details

I. General information

NPI: 1841598307
Provider Name (Legal Business Name): OXANA MEJIA SILVA DE LEON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20800 SHERMAN WAY
WINNETKA CA
91306-2707
US

IV. Provider business mailing address

8902 WOODMAN AVE
ARLETA CA
91331-6401
US

V. Phone/Fax

Practice location:
  • Phone: 818-883-2273
  • Fax:
Mailing address:
  • Phone: 818-610-1643
  • Fax: 818-715-1158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: