Provider Demographics
NPI:1568949816
Name:CADENA, ELVIA LILY (PA)
Entity Type:Individual
Prefix:
First Name:ELVIA
Middle Name:LILY
Last Name:CADENA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ELVIA
Other - Middle Name:LILY
Other - Last Name:CASTRO COREA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3425 S BASCOM AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-7300
Mailing Address - Country:US
Mailing Address - Phone:408-356-5295
Mailing Address - Fax:408-356-5307
Practice Address - Street 1:3425 S BASCOM AVE STE 200
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-7300
Practice Address - Country:US
Practice Address - Phone:408-356-5295
Practice Address - Fax:408-356-5307
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55654207Q00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine