Provider Demographics
NPI:1275255143
Name:LANDEROS, SILVIA (HA)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:LANDEROS
Suffix:
Gender:F
Credentials:HA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 WILLOW LN STE 218
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4992
Mailing Address - Country:US
Mailing Address - Phone:805-870-4498
Mailing Address - Fax:805-870-4625
Practice Address - Street 1:3180 WILLOW LN STE 218
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-4992
Practice Address - Country:US
Practice Address - Phone:805-870-4498
Practice Address - Fax:805-870-4625
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HA8736237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist