Provider Demographics
NPI:1750470621
Name:SEVRAN, SLOANE HOPE (MD)
Entity Type:Individual
Prefix:DR
First Name:SLOANE
Middle Name:HOPE
Last Name:SEVRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21826 LADERA LN
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4265
Mailing Address - Country:US
Mailing Address - Phone:818-932-9545
Mailing Address - Fax:818-789-6726
Practice Address - Street 1:5400 BALBOA BLVD
Practice Address - Street 2:SUITE 326
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1502
Practice Address - Country:US
Practice Address - Phone:818-789-0523
Practice Address - Fax:818-789-6726
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74932208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics