Provider Demographics
NPI:1114687894
Name:VILCHEZ, SIRIA
Entity type:Individual
Prefix:
First Name:SIRIA
Middle Name:
Last Name:VILCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6203 VARIEL AVE UNIT 114
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2472
Mailing Address - Country:US
Mailing Address - Phone:818-650-7910
Mailing Address - Fax:
Practice Address - Street 1:6203 VARIEL AVE UNIT 114
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2472
Practice Address - Country:US
Practice Address - Phone:818-650-7910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator