Organization
SERPAH MEDICAL PC
Active
Parent organization
PHILLIP MUSIKANTH MD INC
Other names
Seraph Medical, Seraph Medical PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHILLIP MUSIKANTH MD INC
Authorized official
KEVIN MATTHEW NELSON (ADMINISTRATOR)
(310) 883-8920
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 710, LOS ANGELES, CA 90067-2010
(424) 274-3211
Mailing address
2080 CENTURY PARK E STE 710, LOS ANGELES, CA 90067-2010
(424) 274-3211
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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