Organization
SERENE HEALTH IPA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR MEDINA (CEO)
(619) 259-6999
Entity
Organization
Contact information
Practice address
523 BLACKBURN DR STE 523, AUGUSTA, GA 30907-8202
(844) 737-3638
(619) 403-9496
Mailing address
9265 SKY PARK CT STE 100, SAN DIEGO, CA 92123-4375
(844) 737-3638
(619) 403-9496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
11/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us