MEDICARE: SILVER BROOKS ENTERPRISES INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	50353	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2126154	OTHER		PK

General Provider Information

NPI Number	:	1902949860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER BROOKS ENTERPRISES INC

Provider Business Mailing Address
First Line	:	4401 S MAIN ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90037-2731
Country	:	US
Telephone Number	:	323-231-9307
Fax Number	:	323-231-7057

Provider Business Practice Location Address
First Line	:	4401 S MAIN ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90037-2731
Country	:	US
Telephone Number	:	323-231-9307
Fax Number	:	323-231-7057

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SILVANA SAKLA
Credential	:
Telephone Number	:	323-232-1111

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	09/19/2025

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