Organization
SERENO PAIN MANAGMENT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIA URSULA CHAKERIAN M.D. (PRESIDENT)
(650) 666-2959
Entity
Organization
Contact information
Practice address
695 OAK GROVE AVE, STE. 200, MENLO PARK, CA 94025-4369
(650) 666-2959
(650) 666-2960
Mailing address
695 OAK GROVE AVE, STE. 200, MENLO PARK, CA 94025-4369
(650) 666-2959
(650) 666-2960
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G60149
CA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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