Seliverstov, Maria I

Seliverstov, Maria I is an sole proprietor health care provider with primary practice located at 4835 Van Nuys Blvd Ste 104 , Sherman Oaks CA 91403-2131. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Seliverstov, Maria I can be contacted via phone (818) 986-9232.

Contact Information

Primary practice address
4835 Van Nuys Blvd Ste 104 Sherman Oaks CA 91403-2131
Phone: (818) 986-9232
Fax: (818) 986-9716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A66938 California
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X A66938 California

Profile Details

NPI number 1457520009
LBN Legal business name Seliverstov, Maria I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2008
Last updated Feb 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457520009 NPPES
California MEDICAID 00A669380

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