Healthcare Provider Details

I. General information

NPI: 1518267392
Provider Name (Legal Business Name): STUART L SILVERMAN MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 WILSHIRE BLVD STE 301
BEVERLY HILLS CA
90211-2921
US

IV. Provider business mailing address

8641 WILSHIRE BLVD STE 301
BEVERLY HILLS CA
90211-2921
US

V. Phone/Fax

Practice location:
  • Phone: 310-358-2234
  • Fax: 310-659-2841
Mailing address:
  • Phone: 310-358-2234
  • Fax: 310-659-2841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberC39893
License Number StateCA

VIII. Authorized Official

Name: STUART L SILVERMAN
Title or Position: PRESIDENT
Credential:
Phone: 310-358-2234