Provider Demographics
NPI:1942265293
Name:BALSIMELLI, SILVANA (DC)
Entity type:Individual
Prefix:DR
First Name:SILVANA
Middle Name:
Last Name:BALSIMELLI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SILVANA
Other - Middle Name:
Other - Last Name:BALSIMELLI-HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:150 PAULARINO AVE
Mailing Address - Street 2:SUITE 193
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3301
Mailing Address - Country:US
Mailing Address - Phone:714-556-3030
Mailing Address - Fax:714-556-3040
Practice Address - Street 1:150 PAULARINO AVE
Practice Address - Street 2:SUITE 193
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3301
Practice Address - Country:US
Practice Address - Phone:714-556-3030
Practice Address - Fax:714-556-3040
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor