Provider Demographics
NPI:1174291413
Name:FAHIMI, EVELYN SILVA
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:SILVA
Last Name:FAHIMI
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 1:22111 CALVERT ST APT C414
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-3575
Mailing Address - Country:US
Mailing Address - Phone:818-585-0543
Mailing Address - Fax:
Practice Address - Street 1:22111 CALVERT ST APT C414
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-3575
Practice Address - Country:US
Practice Address - Phone:818-585-0543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker