Provider Demographics
NPI:1114910106
Name:SILVERBERG, HARVEY HENOCH (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:HENOCH
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:13320 RIVERSIDE DR
Mailing Address - Street 2:114
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2502
Mailing Address - Country:US
Mailing Address - Phone:818-980-0080
Mailing Address - Fax:818-980-0651
Practice Address - Street 1:13320 RIVERSIDE DR
Practice Address - Street 2:114
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2502
Practice Address - Country:US
Practice Address - Phone:818-980-0080
Practice Address - Fax:818-980-0651
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG18596207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G185960Medicaid
CA00G185960Medicaid
CAG18596AMedicare ID - Type Unspecified
CAA90544Medicare UPIN