Provider Demographics
NPI:1770752339
Name:LANDEROS, SILVIA
Entity type:Individual
Prefix:MS
First Name:SILVIA
Middle Name:
Last Name:LANDEROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:
Other - Last Name:ALCANTAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2167 H DELA ROSA SR ST
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-3381
Mailing Address - Country:US
Mailing Address - Phone:831-385-0100
Mailing Address - Fax:831-385-6842
Practice Address - Street 1:2167 H DELA ROSA SR ST
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-3381
Practice Address - Country:US
Practice Address - Phone:831-385-0100
Practice Address - Fax:831-385-6842
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)