Healthcare Provider Details

I. General information

NPI: 1083692800
Provider Name (Legal Business Name): DANIEL M SILVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5363 BALBOA BLVD SUITE 445A
ENCINO CA
91316-2844
US

IV. Provider business mailing address

PO BOX 3459
CHATSWORTH CA
91313-3459
US

V. Phone/Fax

Practice location:
  • Phone: 818-784-9593
  • Fax: 818-784-9594
Mailing address:
  • Phone: 818-700-1250
  • Fax: 818-700-1045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberC31379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: