1619083615 NPI number — DR. HORACIO SILVIO FLEISCHMAN M.D.

Table of content: DR. HORACIO SILVIO FLEISCHMAN M.D. (NPI 1619083615)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619083615 NPI number — DR. HORACIO SILVIO FLEISCHMAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLEISCHMAN
Provider First Name:
HORACIO
Provider Middle Name:
SILVIO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619083615
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4851 MATILIJA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHERMAN OAKS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91423-2422
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-399-0996
Provider Business Mailing Address Fax Number:
818-784-5546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4036 WHITTIER BLVD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90023-2526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-796-0500
Provider Business Practice Location Address Fax Number:
323-796-0558
Provider Enumeration Date:
08/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  A41069 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A410690 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 126550 . This is a "R.H.C" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1619083615 . This is a "ANTHEM BLUE CROSS/ BLUE SHIELD OF CALIFORNIA" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com