# SERENDIB HEALTHWAYS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SERENDIB HEALTHWAYS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902166721
- **Authorized official:** DR. JANESRI W DE SILVA M.D. (PRESIDENT)
- **Authorized official phone:** (818) 305-3755

## Contact information

- **Practice address:** 14608 VICTORY BLVD, VAN NUYS, CA 91411-1621
- **Practice address phone:** (818) 786-7710
- **Practice address fax:** (818) 786-7711
- **Mailing address:** 18543 DEVONSHIRE ST, SUITE 435, NORTHRIDGE, CA 91324-1308
- **Mailing address phone:** (818) 786-7710
- **Mailing address fax:** (818) 786-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | A889910 | CA | — |
| 208D00000X | General Practice Physician | A889910 | CA | Yes |

## Other

- **Enumeration date:** 05/26/2012
- **Last updated:** 05/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A889910 | MEDICAL LICENSE | CA |