Provider Demographics
NPI:1447796008
Name:CARUANA, SILVANA
Entity Type:Individual
Prefix:MS
First Name:SILVANA
Middle Name:
Last Name:CARUANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SILVANA
Other - Middle Name:
Other - Last Name:TRAILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA COUNSELING
Mailing Address - Street 1:4711 NATICK AVE
Mailing Address - Street 2:125
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2701
Mailing Address - Country:US
Mailing Address - Phone:323-573-0119
Mailing Address - Fax:
Practice Address - Street 1:4711 NATICK AVE
Practice Address - Street 2:125
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2701
Practice Address - Country:US
Practice Address - Phone:323-573-0119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization