Individual
DR. FELICIANO ANTONIO SERRANO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7305 PACIFIC BLVD FL 2, HUNTINGTON PARK, CA 90255-5736
(323) 585-6900
Mailing address
7429 3RD ST, DOWNEY, CA 90241-3211
(562) 688-2589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A88849
CA
207R00000X
Internal Medicine Physician
A88849
CA
207RN0300X
Nephrology Physician
A88849
CA
2086S0129X
Vascular Surgery Physician
A88849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ095Z
MEDICARE PTAN
CA
Enumeration date
05/23/2006
Last updated
09/15/2020
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