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Organization
JOHN H. SEROCKI, MD, APC
Active
Organization
JOHN H. SEROCKI, MD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA BURMIL (MANAGER)
(858) 824-1703
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE #228, LA JOLLA, CA 92037
(858) 824-1703
Mailing address
9834 GENESEE AVE #228, LA JOLLA, CA 92037
(858) 824-1703
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG589110
—
CA
Enumeration date
09/21/2007
Last updated
09/21/2007
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