Janesri De Silva, MD a Prof Corp

NPI #1114253671 in Van Nuys, California

Provider Information

NPI Number: 1114253671
Entity Type: Organization
Organization Name: Janesri De Silva, MD a Prof Corp
Primary Specialty: Pediatrics
Enumeration Date: Oct 19, 2009
Last Updated: Oct 19, 2009

Practice Location

Address: 15211 VANOWEN ST
Address 2: SUITE 102
City: Van Nuys
State: California
ZIP Code: 91405-3606
Phone: (818) 782-7600

Authorized Official

Name: DR. JANESRI WIJAYANGANI DE SILVA, M.D.
Title: PRESIDENT
Phone: (818) 782-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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