Provider Demographics
NPI:1659429470
Name:SILVA, MELINDA L (MD)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:L
Last Name:SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:890 EASTLAKE PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4521
Mailing Address - Country:US
Mailing Address - Phone:619-761-1574
Mailing Address - Fax:619-946-4466
Practice Address - Street 1:890 EASTLAKE PKWY STE 103
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4521
Practice Address - Country:US
Practice Address - Phone:619-761-1574
Practice Address - Fax:619-946-4466
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine