Individual
DR. CONSTANCE PRIMROSE DE SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 W LA VETA AVE, ORANGE, CA 92868-3918
(715) 532-6811
(714) 532-5487
Mailing address
810 W LA VETA AVE, ORANGE, CA 92868-3918
(715) 532-6811
(714) 532-5487
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A 33450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA 33450M
PPIN
CA
Enumeration date
07/13/2006
Last updated
10/19/2007
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