Basic Information
| Provider Information | |||||||||
| NPI: | 1184878589 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILVA-CELADA | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | LUCIA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 LAUREL CANYON BLVD APT 303 | ||||||||
| Address2: | |||||||||
| City: | VALLEY VILLAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 916073155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052809829 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7100 VAN NUYS BLVD STE 120 | ||||||||
| Address2: | |||||||||
| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914053063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189881111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2008 | ||||||||
| LastUpdateDate: | 11/12/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OPT13666 | CA | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.