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Organization

SILVERCARE MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER DUSOVICH M.D. (PRESIDENT)
(310) 613-2414
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
FNP32158
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01904
CITY OF THOUSAND OAKS ID
CA
01
FNP32158
FICTITIOUS NAME PERMIT
CA
Enumeration date
06/03/2006
Last updated
08/22/2020
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