Organization
LOS ANGELES CENTER FOR MEDICAL WEIGHT LOSS
Active
Parent organization
DE SILVA MEDICAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DE SILVA MEDICAL, INC.
Authorized official
DR. PAMELA DE SIVLA M.D. (PRESIDENT)
(661) 726-6255
Entity
Organization
Contact information
Practice address
623 W AVENUE Q, SUITE A, PALMDALE, CA 93551-3890
(661) 726-6255
(661) 726-6261
Mailing address
623 W AVENUE Q, SUITE A, PALMDALE, CA 93551-3890
(661) 726-6255
(661) 726-6261
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
A48894
CA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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