Provider Demographics
NPI:1649426248
Name:DESILVA, CECIL TREVOR (MD)
Entity type:Individual
Prefix:DR
First Name:CECIL
Middle Name:TREVOR
Last Name:DESILVA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:GOTTSCHALK MEDICAL PLZ
Mailing Address - Street 2:1 MEDICAL PLAZA DRIVE
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92697-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GOTTSCHALK MEDICAL PLZ
Practice Address - Street 2:1 MEDICAL PLAZA DRIVE
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92697-0001
Practice Address - Country:US
Practice Address - Phone:714-456-5175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.120780207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine