SERENDIB HEALTHWAYS INC NPI 1902166721

NPI Information

NPI: 1902166721
Provider Name: SERENDIB HEALTHWAYS, INC

Doing Business As: SERENDIB HEALTHWAYS

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
14608 VICTORY BLVD
VAN NUYS, CA
ZIP 91411
Phone: (818) 786-7710
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SERENDIB HEALTHWAYS, INC is a general practice in Van Nuys, CA. SERENDIB HEALTHWAYS, INC NPI is 1902166721. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Serendib Healthways.

The provider's business location address is:

14608 VICTORY BLVD
VAN NUYS, CA
ZIP 91411-621
Phone: (818) 786-7710
Fax: (818) 786-7711

The provider's authorized official is Janesri W De Silva .
The authorized official title is President and has the following contact phone number (818) 305-3755.

The enumeration date for this NPI number is 5/26/2012 and was last updated on 5/26/2012.

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
1	207K00000X	Allergy & Immunology		A889910	CALIFORNIA	No
2	208D00000X	General Practice		A889910	CALIFORNIA	Yes

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
1	A889910	OTHER	CALIFORNIA	MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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