Most Relevant Information
Provider Data
| NPI Number: | 1003495573 |
| Provider Name: | JOHANNA DE SILVA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2021 |
| Last Updated: | 04/25/2023 |
Provider Practice Location
289 W HUNTINGTON DR
ARCADIA
CA
910073495
Practice Location Phone/Fax
| Phone: | 6268210707 |
| Fax: |
Provider Mailing Location
289 W HUNTINGTON DR STE 103
ARCADIA
CA
910073492
Provider Mailing Phone/Fax
| Phone: | 6268210707 |
| Fax: |