Healthcare Provider Details

I. General information

NPI: 1700312881
Provider Name (Legal Business Name): NETANEL ZILBERSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6352 VAN NUYS BLVD STE 226
VAN NUYS CA
91401-2601
US

IV. Provider business mailing address

269 S BEVERLY DR
BEVERLY HILLS CA
90212-3807
US

V. Phone/Fax

Practice location:
  • Phone: 818-946-0028
  • Fax: 818-334-4127
Mailing address:
  • Phone: 818-946-0028
  • Fax: 818-334-4127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number336111643
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA202032
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: