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Contact Information

JANESRI DE SILVA, MD A PROF CORP
15211 VANOWEN ST
SUITE 102
VAN NUYS, CA91405-3606
 Phone: 818-782-7600
 Fax: 818-782-9077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JANESRI DE SILVA, MD A PROF CORP

NPI # 1114253671
LBN Legal business name JANESRI DE SILVA, MD A PROF CORP
Authorized official JANESRI DE SILVA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2009
Last updated 10/19/2009 - About 17 years ago
Identifiers
CA License # A88991
CA Medicaid 00A889910
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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