Maria I. Seliverstov, Md Inc.

LBN: Maria I. Seliverstov, Md Inc.
Maria I. Seliverstov, Md Inc. is an health care organization with primary practice located at 4835 Van Nuys Blvd #104, Sherman Oaks CA 91403. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is the primary health care specialty. Maria I. Seliverstov, Md Inc. can be contacted via phone (818) 986-9232, or through Seliverstov, Maria I. via phone (818) 986-9232.

Contact Information

Primary practice address
4835 Van Nuys Blvd #104 Sherman Oaks CA 91403
Fax: (818) 986-9716
Website:
Authorized official contact:
Name: Seliverstov, Maria I. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X A066938 California
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X A066938 California

Profile Details

NPI number 1841298775
LBN Legal business name Maria I. Seliverstov, Md Inc.
DBA Doing business as
Authorized official Seliverstov, Maria I. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841298775 NPPES
California MEDICAID 00A669380

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