MARIA I. SELIVERSTOV MD INC. NPI 1841298775

NPI Information

NPI: 1841298775
Provider Name: MARIA I. SELIVERSTOV, MD INC.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
4835 VAN NUYS BLVD
#104
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 986-9232
Get Directions

MARIA I. SELIVERSTOV, MD INC. is a geriatric psychiatry psychiatry neurology in Sherman Oaks, CA. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. MARIA I. SELIVERSTOV, MD INC. NPI is 1841298775. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4835 VAN NUYS BLVD
#104
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 986-9232
Fax: (818) 986-9716

The provider's authorized official is Maria I. Seliverstov .
The authorized official title is Ceo and has the following contact phone number (818) 986-9232.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 11/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P2900X	Psychiatry & Neurology	Pain Medicine	A066938	CALIFORNIA	No
2	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	A066938	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00A669380	MEDICAID	CALIFORNIA
2	G87917	MEDICARE UPIN
3	A66938	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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