Organization
SERRA COMMUNITY MEDICAL CLINIC, INC
Active
Other names
Serra Community Medical Clinic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SADAYAPPA K DURAIRAJ M.D. (C.E.O.)
(818) 768-3000
Entity
Organization
Contact information
Practice address
9375 SAN FERNANDO RD, SUN VALLEY, CA 91352-1418
(818) 768-3000
(818) 504-4690
Mailing address
9375 SAN FERNANDO RD, SUN VALLEY, CA 91352-1418
(818) 768-3000
(818) 504-4690
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01546F
—
CA
Enumeration date
04/10/2007
Last updated
03/07/2017
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