Individual
JORGE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2215 W BROADWAY APT F211, ANAHEIM, CA 92804-1354
(310) 738-8018
(714) 533-8078
Mailing address
2215 W BROADWAY AVE F-211, ANAHEIM, CA 92804
(310) 738-8018
(714) 533-8078
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A8218784
CA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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