Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 0101255555 | VA |
Y | 207RH0002X | Hospice and Palliative Medicine | C169193 | CA |
NPI | 1154626794 |
---|---|
Provider Name | Julio Silvestre |
First Address | Los Angeles, CA 90074-4701 |
Second Address | Loma Linda, CA 92354-3128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2011 |
Last Update Date | 07/08/2020 |