Provider Demographics
NPI:1053797472
Name:SILVA, ARIADNA
Entity type:Individual
Prefix:
First Name:ARIADNA
Middle Name:
Last Name:SILVA
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 1:125 E 29TH ST
Mailing Address - Street 2:APT 1
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-1949
Mailing Address - Country:US
Mailing Address - Phone:213-256-9285
Mailing Address - Fax:818-844-3564
Practice Address - Street 1:805 N CENTRAL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1230
Practice Address - Country:US
Practice Address - Phone:818-636-7480
Practice Address - Fax:818-844-3564
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-07
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner