Healthcare Provider Details

I. General information

NPI: 1285745059
Provider Name (Legal Business Name): DAPHNA SLONIM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 S LA CIENEGA BLVD SUITE 309
BEVERLY HILLS CA
90211-3325
US

IV. Provider business mailing address

235 S GALE DR APT 302
BEVERLY HILLS CA
90211-3484
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-8111
  • Fax:
Mailing address:
  • Phone: 310-659-8111
  • Fax: 310-659-7350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberA41160
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA41160
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA41160
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: