MEDICARE: ARIADNA SILVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1053797472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIADNA SILVA

Provider Business Mailing Address
First Line	:	125 E 29TH ST
Second Line	:	APT 1
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-1949
Country	:	US
Telephone Number	:	213-256-9285
Fax Number	:	818-844-3564

Provider Business Practice Location Address
First Line	:	805 N CENTRAL AVE
Second Line	:	SUITE 200
City	:	GLENDALE
State	:	CA
Zip	:	91203-1230
Country	:	US
Telephone Number	:	818-636-7480
Fax Number	:	818-844-3564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2015
Last Update Date	:	07/14/2023

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Directions to “ ARIADNA SILVA ” Practice Location

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