Provider Demographics
NPI:1083692800
Name:SILVER, DANIEL M (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3459
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91313-3459
Mailing Address - Country:US
Mailing Address - Phone:818-700-1250
Mailing Address - Fax:818-700-1045
Practice Address - Street 1:5363 BALBOA BLVD
Practice Address - Street 2:SUITE 445A
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2844
Practice Address - Country:US
Practice Address - Phone:818-784-9593
Practice Address - Fax:818-784-9594
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC31379207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C313790OtherBLUE SHIELD
CA00C313790Medicaid
CA00C313790Medicaid
CAC31379Medicare ID - Type Unspecified