| NPI | 1356015580 |
|---|---|
| Doing Business As | SERRA COMMUNITY MEDICAL CLINIC- VAN NUYS |
| Entity Type | Organization |
| Authorized Contact | LILY PEREZ Credentialing Coordinator 818-504-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-05-04 |