Organization
ILLUMINARY MEDICAL GROUP, PC
Active
Other names
Illuminary Medical Group, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SERAJ M.D. (CHIEF EXECUTIVE OFFICER)
(949) 295-0342
Entity
Organization
Contact information
Practice address
2623 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2926
(323) 583-1931
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 936-0427
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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