# JOHN H. SEROCKI, MD, APC

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

## Provider details

- **NPI number:** 1487840583
- **Authorized official:** MS. TERESA BURMIL (MANAGER)
- **Authorized official phone:** (858) 824-1703

## Contact information

- **Practice address:** 9834 GENESEE AVE \#228, LA JOLLA, CA 92037
- **Practice address phone:** (858) 824-1703
- **Mailing address:** 9834 GENESEE AVE \#228, LA JOLLA, CA 92037
- **Mailing address phone:** (858) 824-1703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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

- **Enumeration date:** 09/21/2007
- **Last updated:** 09/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | OOG589110 | — | CA |