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NPI Code Detail

MEDICARE: DR. ANDREIA MINASIAN SILVERA DDS

MEDICARE: DR. ANDREIA MINASIAN SILVERA DDS
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
11223D0004XDental Anesthesiology36263CA

General Provider Information

NPI Number : 1063613875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREIA MINASIAN SILVERA DDS
Provider Business Mailing Address
First Line : 2080 CENTURY PARK E
Second Line : #1003
City : LOS ANGELES
State : CA
Zip : 90067-2001
Country : US
Telephone Number : 310-553-0809
Fax Number : 310-839-7833
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E STE 1003
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2013
Country : US
Telephone Number : 310-553-0809
Fax Number : 310-839-7833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 02/18/2014

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