# SILVERCARE MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427096197
- **Authorized official:** ALEXANDER DUSOVICH M.D. (PRESIDENT)
- **Authorized official phone:** (310) 613-2414

## Contact information

- **Practice address:** 45 ERBES RD, THOUSAND OAKS, CA 91362-5802
- **Practice address phone:** (805) 494-8430
- **Practice address fax:** (805) 494-8379
- **Mailing address:** 8306 WILSHIRE BLVD, \#501, BEVERLY HILLS, CA 90211-2382
- **Mailing address phone:** (805) 494-8430
- **Mailing address fax:** (805) 494-8379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | FNP32158 | CA | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01904 | CITY OF THOUSAND OAKS ID | CA |
| 01 | — | FNP32158 | FICTITIOUS NAME PERMIT | CA |
