Provider Demographics
NPI:1053010173
Name:ALONSO, SILVIA R
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:R
Last Name:ALONSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13906 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-2670
Mailing Address - Country:US
Mailing Address - Phone:562-201-8626
Mailing Address - Fax:562-210-5420
Practice Address - Street 1:13906 BERGEN AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2670
Practice Address - Country:US
Practice Address - Phone:562-201-8626
Practice Address - Fax:562-210-5420
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANBCMI101136171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter