| NPI | 1447503974 |
|---|---|
| Doing Business As | SERENDIB HEALTHWAYS |
| Entity Type | Organization |
| Authorized Contact | JANESRI W DE SILVA President/Medical Director 818-786-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A88991) |
| 302R00000X Health Maintenance Organization | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |