Individual
ALEXA LYNN DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29809 SANTA MARGARITA PKWY, RANCHO SANTA MARGARITA, CA 92688-3613
(949) 290-0410
Mailing address
31262 OLD SAN JUAN RD, SAN JUAN CAPISTRANO, CA 92675-2407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA58108
CA
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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