Organization
FELICIANO SERRANO, M.D., INC.
Active
Other names
Serrano Kidney & Vascular Access Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIANO R SERRANO (BILLING MANAGEMENT)
(323) 585-6900
Entity
Organization
Contact information
Practice address
7305 PACIFIC BLVD FL 2, HUNTINGTON PARK, CA 90255-5736
(323) 585-6900
(323) 585-6962
Mailing address
7305 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-5736
(323) 585-6900
(323) 585-6962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ092A
MEDICARE PTAN
CA
Enumeration date
01/11/2010
Last updated
10/19/2020
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