Healthcare Provider Details

I. General information

NPI: 1891918405
Provider Name (Legal Business Name): RONALD T. SILVERSTEIN, M.D. APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 XIMENO AVE STE 230
LONG BEACH CA
90804-2185
US

IV. Provider business mailing address

1650 XIMENO AVE STE 230
LONG BEACH CA
90804-2185
US

V. Phone/Fax

Practice location:
  • Phone: 562-494-3633
  • Fax: 562-498-0917
Mailing address:
  • Phone: 562-494-3633
  • Fax: 562-498-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD T SILVERSTEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 562-494-3633