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SERENITY MEDGROUP INC NPI 1427364009


NPI Information

NPI: 1427364009
Provider Name: SERENITY MEDGROUP INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4312 WOODMAN AVE
STE.102
SHERMAN OAKS, CA
ZIP 91423
Phone: (818) 205-9366
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SERENITY MEDGROUP INC is a multi-specialty clinic center in Sherman Oaks, CA. SERENITY MEDGROUP INC NPI is 1427364009. The provider is registered as an organization entity type.

The provider's business location address is:

4312 WOODMAN AVE
STE.102
SHERMAN OAKS, CA
ZIP 91423-546
Phone: (818) 205-9366

The provider's authorized official is Karim Adly Soliman .
The authorized official title is President and has the following contact phone number (818) 385-0660.

The enumeration date for this NPI number is 8/20/2010 and was last updated on 2/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DP006AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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