Individual
DR. JANESRI W DE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10550 SEPULVEDA BLVD, SUITE 101, MISSION HILLS, CA 91345-1934
(818) 361-5437
(818) 361-5695
Mailing address
18543 DEVONSHIRE ST, SUITE 430, NORTHRIDGE, CA 91324-1308
(818) 361-5437
(818) 361-5695
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A88991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A889910
—
CA
Enumeration date
02/07/2007
Last updated
01/17/2011
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