Provider Demographics
NPI:1699707372
Name:SILVERSTEIN, MELVIN J (MD)
Entity type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:J
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3334 E COAST HWY
Mailing Address - Street 2:#363
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-2328
Mailing Address - Country:US
Mailing Address - Phone:310-488-9510
Mailing Address - Fax:949-764-8236
Practice Address - Street 1:ONE HOAG DRIVE
Practice Address - Street 2:HOAG HOSPITAL
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92658-6100
Practice Address - Country:US
Practice Address - Phone:310-488-9510
Practice Address - Fax:949-764-8236
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2017-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA41853208600000X
CAG231002086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G231000OtherBLUE SHIELD PIN
CA00G231000Medicaid
CA00G231000C29OtherCAL OPTIMA PIN
CA020039593OtherMEDICARE RAILROAD PIN
CA020039593OtherMEDICARE RAILROAD PIN
CAWG23100CMedicare PIN