Individual
MICHAEL THOMAS SERMENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3026
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-ADOLTI
CA
Other
Enumeration date
12/15/2020
Last updated
06/08/2023
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