Individual
SILVANA MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 560W, SANTA MONICA, CA 90404-2102
(310) 582-7900
(310) 582-7946
Mailing address
2001 SANTA MONICA BLVD, SUITE 560W, SANTA MONICA, CA 90404-2102
(310) 582-7900
(310) 582-7946
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20A6503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6503
MEDICAL LICENSE
CA
01
—
W15185
MEDICARE PTAN - FACILITY
CA
01
—
W15185A
MEDICARE PTAN - FACILITY
CA
Enumeration date
08/17/2006
Last updated
03/07/2023
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