Provider Demographics
NPI:1992321459
Name:SILVA, ANTHONY GABRIEL II (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:GABRIEL
Last Name:SILVA
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2298 MIRA MAR AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-2509
Mailing Address - Country:US
Mailing Address - Phone:562-884-1917
Mailing Address - Fax:
Practice Address - Street 1:4115 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1043
Practice Address - Country:US
Practice Address - Phone:562-231-6046
Practice Address - Fax:562-408-1141
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-21
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor