Healthcare Provider Details

I. General information

NPI: 1336351063
Provider Name (Legal Business Name): LEONARD SILVERBERG DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: LEONARD SILVERBERG DPM

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5907 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91601-1006
US

IV. Provider business mailing address

5907 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91601-1006
US

V. Phone/Fax

Practice location:
  • Phone: 818-980-3073
  • Fax: 877-340-3470
Mailing address:
  • Phone: 918-980-3073
  • Fax: 877-340-3470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE1360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: