Provider Demographics
NPI:1164161717
Name:SILBERBERG, LEERON MOSHIT
Entity Type:Individual
Prefix:
First Name:LEERON
Middle Name:MOSHIT
Last Name:SILBERBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 VENTURA CANYON AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-5001
Mailing Address - Country:US
Mailing Address - Phone:240-643-0300
Mailing Address - Fax:
Practice Address - Street 1:4425 VENTURA CANYON AVE APT 201
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-5001
Practice Address - Country:US
Practice Address - Phone:240-643-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program