# SERENO PAIN MANAGMENT MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1982094421
- **Authorized official:** MAIA URSULA CHAKERIAN M.D. (PRESIDENT)
- **Authorized official phone:** (650) 666-2959

## Contact information

- **Practice address:** 695 OAK GROVE AVE, STE. 200, MENLO PARK, CA 94025-4369
- **Practice address phone:** (650) 666-2959
- **Practice address fax:** (650) 666-2960
- **Mailing address:** 695 OAK GROVE AVE, STE. 200, MENLO PARK, CA 94025-4369
- **Mailing address phone:** (650) 666-2959
- **Mailing address fax:** (650) 666-2960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G60149 | CA | Yes |

## Other

- **Enumeration date:** 02/04/2015
- **Last updated:** 02/04/2015