Provider Demographics
NPI:1376568774
Name:SILVERIO, JORGE LEONIDES (DC)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:LEONIDES
Last Name:SILVERIO
Suffix:
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 1:101 W ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2209
Mailing Address - Country:US
Mailing Address - Phone:818-953-2895
Mailing Address - Fax:818-841-0587
Practice Address - Street 1:101 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2209
Practice Address - Country:US
Practice Address - Phone:818-953-2895
Practice Address - Fax:818-841-0587
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16211111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor