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Organization
SERENO PAIN MANAGMENT MEDICAL GROUP, INC.
Active
Organization
SERENO PAIN MANAGMENT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIA URSULA CHAKERIAN M.D. (PRESIDENT)
(650) 666-2959
Entity
Organization
Contact information
Practice address
695 OAK GROVE AVE, STE. 200, MENLO PARK, CA 94025-4369
(650) 666-2959
(650) 666-2960
Mailing address
695 OAK GROVE AVE, STE. 200, MENLO PARK, CA 94025-4369
(650) 666-2959
(650) 666-2960
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G60149
CA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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