Healthcare Provider Details

I. General information

NPI: 1376549220
Provider Name (Legal Business Name): ARTHUR SILVERSTEIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5974 PENTZ RD
PARADISE CA
95969-5509
US

IV. Provider business mailing address

6336 AUGUST LN
PARADISE CA
95969-3083
US

V. Phone/Fax

Practice location:
  • Phone: 530-872-2000
  • Fax: 530-876-2519
Mailing address:
  • Phone: 530-872-2000
  • Fax: 530-876-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number20A3941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: