Organization
JAMES A. DE SILVA, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. DE SILVA D.P.M. (OWNER)
(951) 687-0270
Entity
Organization
Contact information
Practice address
7310 MAGNOLIA AVE, RIVERSIDE, CA 92504-3849
(951) 687-0280
(951) 354-0350
Mailing address
7310 MAGNOLIA AVE, RIVERSIDE, CA 92504-3849
(951) 687-0280
(951) 354-0350
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOOE21211
—
CA
Enumeration date
12/04/2009
Last updated
12/04/2009
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