Healthcare Provider Details

I. General information

NPI: 1528832714
Provider Name (Legal Business Name): LILIANA SLONINSKY, M.D., A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ROBERTSON BLVD STE 304
BEVERLY HILLS CA
90211-2145
US

IV. Provider business mailing address

150 N ROBERTSON BLVD STE 304
BEVERLY HILLS CA
90211-2145
US

V. Phone/Fax

Practice location:
  • Phone: 310-854-3043
  • Fax: 310-854-0201
Mailing address:
  • Phone: 310-854-3043
  • Fax: 310-854-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: LILIANA SLONINSKY
Title or Position: MD
Credential: MD
Phone: 310-854-3043