Healthcare Provider Details

I. General information

NPI: 1265456560
Provider Name (Legal Business Name): ALLAN W SILBERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD CS-OCC
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

8700 BEVERLY BLVD CS-OCC
WEST HOLLYWOOD CA
90048-1804
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-5470
  • Fax: 310-659-3928
Mailing address:
  • Phone: 951-303-3391
  • Fax: 951-346-3627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberG41444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: