Individual
DR. KENNETH J. SERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8860
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8860
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G76553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G765530
—
CA
Enumeration date
02/03/2006
Last updated
03/07/2017
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