Provider Demographics
NPI:1013768225
Name:DE SILVA, PERLITA M
Entity type:Individual
Prefix:MS
First Name:PERLITA
Middle Name:M
Last Name:DE SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PEARL
Other - Middle Name:M
Other - Last Name:FURLANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1199 B ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4201
Mailing Address - Country:US
Mailing Address - Phone:510-397-0359
Mailing Address - Fax:510-397-0852
Practice Address - Street 1:1199 B ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4201
Practice Address - Country:US
Practice Address - Phone:925-594-3994
Practice Address - Fax:510-397-0852
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant