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Audrey Jean Dasilva
Pediatrics Physician in South Lake Tahoe, California
NPI 1548897119

Audrey Jean Dasilva is a Pediatrics Physician based in South Lake Tahoe, CA. Audrey Jean Dasilva practices in South Lake Tahoe, CA. The NPI Number for Audrey Jean Dasilva is 1548897119 and holds a License No. PTL3653 (California).

The current practice location address for Audrey Jean Dasilva is 2201 South Ave, South Lake Tahoe, CA and can be reached out via phone at 530-543-5550.

Location: 2201 South Ave, South Lake Tahoe, CA, 96150-7025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548897119
Provider Name
Audrey Jean Dasilva
Credential
Provider Entity Type
Individual
Gender
Female
Address
2201 South Ave, South Lake Tahoe, CA, 96150-7025
Phone Number
530-543-5550
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7025
Phone Number
530-543-5550
Fax Number
person
Provider Business Mailing Address Details
Address
2201 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7025
Phone Number
530-543-5550
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PTL3653 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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