Yesenia Aguilar Silvan

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Santa Monica, CA

NPI 1447972724 · NPPES record last updated Sep 14, 2022

Key facts

NPI
1447972724
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1339 20TH St
Santa Monica, CA 90404-2033
Phone
(310) 829-8921
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1339 20TH St
Santa Monica, CA 90404-2033

Mailing address

3181 S Sepulveda Blvd Apt 101
Los Angeles, CA 90034-4219

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address yesenia.aguilarsilvan@providence.org

Other providers in Santa Monica, CA

All providers in Santa Monica, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.