MEDICARE: UNIVERSAL HEALING CENTER A PROFESSIONAL CORPORATION

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1962087072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL HEALING CENTER A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	6320 COMMODORE SLOAT DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5453
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 COMMODORE SLOAT DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5453
Country	:	US
Telephone Number	:	94-275-6019
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ADAM SILVER
Credential	:	D.O.
Telephone Number	:	424-274-2632

Provider Enumeration Date	:	03/10/2021
Last Update Date	:	09/02/2022

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