Individual
RYAN M. SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(877) 558-6248
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
01076880A
IN
2080P0202X
Pediatric Cardiology Physician
Primary
A134638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201373800
—
IN
Enumeration date
05/08/2013
Last updated
02/08/2023
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