Provider Demographics
NPI:1891918405
Name:RONALD T. SILVERSTEIN, M.D. APC
Entity Type:Organization
Organization Name:RONALD T. SILVERSTEIN, M.D. APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:T
Authorized Official - Last Name:SILVERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-494-3633
Mailing Address - Street 1:1650 XIMENO AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-2185
Mailing Address - Country:US
Mailing Address - Phone:562-494-3633
Mailing Address - Fax:562-498-0917
Practice Address - Street 1:1650 XIMENO AVE STE 230
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2185
Practice Address - Country:US
Practice Address - Phone:562-494-3633
Practice Address - Fax:562-498-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0000820Medicaid
CAGR0000820Medicaid
CAA41652Medicare UPIN
CAF42606Medicare UPIN
CAW5843Medicare ID - Type UnspecifiedSILVERSTEIN