Provider Demographics
NPI:1487546271
Name:PASILLAS, SELINA
Entity type:Individual
Prefix:
First Name:SELINA
Middle Name:
Last Name:PASILLAS
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 1:10220 FOOTHILL BLVD UNIT 1205
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0344
Mailing Address - Country:US
Mailing Address - Phone:909-202-0163
Mailing Address - Fax:
Practice Address - Street 1:10220 FOOTHILL BLVD UNIT 1205
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0344
Practice Address - Country:US
Practice Address - Phone:909-202-0163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula