Provider Demographics
NPI:1780905877
Name:ANTHONY SILVA CHIROPRACTIC GROUP INC.
Entity type:Organization
Organization Name:ANTHONY SILVA CHIROPRACTIC GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ARIEL
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-922-7755
Mailing Address - Street 1:14126 SHERMAN WAY
Mailing Address - Street 2:SUITE#9
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5600
Mailing Address - Country:US
Mailing Address - Phone:818-922-7755
Mailing Address - Fax:818-922-7655
Practice Address - Street 1:14126 SHERMAN WAY
Practice Address - Street 2:SUITE#9
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-5600
Practice Address - Country:US
Practice Address - Phone:818-922-7755
Practice Address - Fax:818-922-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty