Individual
DR. MITCHEL SERUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-2129
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 423-2129
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A138160
CA
208200000X
Plastic Surgery Physician
Q0560
TX
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Q0560
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Q0560
TX
Other
Enumeration date
05/05/2009
Last updated
09/08/2020
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