| Silvercare Medical Group, Inc | |
|
45 Erbes Rd Thousand Oaks CA 91362-5802 | |
| (805) 494-8430 | |
| (805) 494-8379 |
| Full Name | Silvercare Medical Group, Inc |
|---|---|
| Speciality | General Practice |
| Location | 45 Erbes Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Alexander Dusovich (PRESIDENT) |
| Authorized Official Contact | 3106132414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silvercare Medical Group, Inc 8306 Wilshire Blvd #501 Beverly Hills CA 90211-2382 Ph: (805) 494-8430 | Silvercare Medical Group, Inc 45 Erbes Rd Thousand Oaks CA 91362-5802 Ph: (805) 494-8430 |
| NPI Number | 1427096197 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427096197 | NPI | - | NPPES |
| FNP32158 | Other | CA | FICTITIOUS NAME PERMIT |
| 01904 | Other | CA | CITY OF THOUSAND OAKS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | FNP32158 (California) | Primary |
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