Healthcare Provider Details

I. General information

NPI: 1306473426
Provider Name (Legal Business Name): JORDYN FREDDI SILVERSTEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 PARNASSUS AVE STE S-245
SAN FRANCISCO CA
94143-2205
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 818-800-0129
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA186008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: