Provider Demographics
NPI:1871546127
Name:SILVER, MORRIS B (MD)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:B
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:PO BOX 227
Mailing Address - Street 2:1702 S. ROBERTSON BLVD
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-4120
Mailing Address - Country:US
Mailing Address - Phone:310-287-1015
Mailing Address - Fax:310-287-1065
Practice Address - Street 1:9301 WILSHIRE BLVD
Practice Address - Street 2:SUITE 602
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5424
Practice Address - Country:US
Practice Address - Phone:310-295-9673
Practice Address - Fax:310-287-1065
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG68175174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G681751Medicaid
CAG68175Medicare ID - Type Unspecified
CAD91906Medicare UPIN