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Contact Information

MARIA I SELIVERSTOV, MD
4835 VAN NUYS BLVD STE 104
SHERMAN OAKS, CA91403-2131
 Phone: 818-986-9232
 Fax: 818-986-9716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MARIA I SELIVERSTOV · (Female)

NPI Number 1457520009
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2008
Last updated 02/28/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A66938
  • CA Medicaid 00A669380
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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