Provider Demographics
NPI:1285625517
Name:SL ROUFF MD AMC & SS SILBERSTEIN MD AMC
Entity type:Organization
Organization Name:SL ROUFF MD AMC & SS SILBERSTEIN MD AMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SYLVAIN
Authorized Official - Middle Name:SILO
Authorized Official - Last Name:SILBERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-778-1920
Mailing Address - Street 1:15211 VANOWEN STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405
Mailing Address - Country:US
Mailing Address - Phone:818-778-1920
Mailing Address - Fax:818-787-8804
Practice Address - Street 1:15211 VANOWEN STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405
Practice Address - Country:US
Practice Address - Phone:818-778-1920
Practice Address - Fax:818-787-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1730289463OtherINDIVIDUAL NPI
W7569Medicare ID - Type Unspecified
A23871Medicare UPIN
E91549Medicare UPIN
H85313Medicare UPIN
A41789Medicare UPIN