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NPI Code Detail

MEDICARE: ELIA ELIZABETH SILVEYRA B.A.

MEDICARE: ELIA ELIZABETH SILVEYRA B.A.
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
13245S0500XChildren's Substance Abuse Rehabilitation FacilityCA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336272483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIA ELIZABETH SILVEYRA B.A.
Provider Business Mailing Address
First Line : 4329 BOSTON AVE
Second Line :
City : LA CRESCENTA
State : CA
Zip : 91214-2414
Country : US
Telephone Number : 818-330-9095
Fax Number :
Provider Business Practice Location Address
First Line : 4018 CITY TERRACE DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063-1242
Country : US
Telephone Number : 323-268-3219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 09/16/2009

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