Provider Demographics
NPI:1215086145
Name:SOL SILBERSTEIN M.D. A MEDICAL CORPORATION
Entity type:Organization
Organization Name:SOL SILBERSTEIN M.D. A MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SILBERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-482-5600
Mailing Address - Street 1:1127 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-3901
Mailing Address - Country:US
Mailing Address - Phone:213-482-5600
Mailing Address - Fax:213-482-2141
Practice Address - Street 1:1127 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1206
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3901
Practice Address - Country:US
Practice Address - Phone:213-482-5600
Practice Address - Fax:213-482-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG36062207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G360620OtherMEDICAL
CAG36062Medicare PIN
CAA46560Medicare UPIN