Healthcare Provider Details

I. General information

NPI: 1932271582
Provider Name (Legal Business Name): ALISON CAROL PECK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON CAROL SILVERBERG M.D.

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16030 VENTURA BLVD STE 404
ENCINO CA
91436-2754
US

IV. Provider business mailing address

16030 VENTURA BLVD STE 404
ENCINO CA
91436-2754
US

V. Phone/Fax

Practice location:
  • Phone: 818-728-4600
  • Fax: 818-728-4616
Mailing address:
  • Phone: 818-728-4600
  • Fax: 818-728-4616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA75976
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: