Provider Demographics
NPI:1649369125
Name:SILVER, ALAN A (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:A
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 1:18837 WELLS DR
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4006
Mailing Address - Country:US
Mailing Address - Phone:818-996-4300
Mailing Address - Fax:
Practice Address - Street 1:23763 VALENCIA BLVD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2105
Practice Address - Country:US
Practice Address - Phone:661-287-1551
Practice Address - Fax:661-255-8037
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A340650Medicaid
WA34065CMedicare ID - Type Unspecified
CA00A340650Medicaid