JAMES A DESILVA
Surgery Yellow Pages
Riverside, California
Provider NPI: 1922098037
Organization Information:Organization Name: JAMES A DESILVA
Practice Location:
7310 MAGNOLIA AVE RIVERSIDE, CA 92504 US
Tel: 951-354-8787 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7310 MAGNOLIA AVE RIVERSIDE, CA 92504 US
Tel: 951-354-8787 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | CA | 24000527 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
SUR51066F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin