| NPI | 1619445640 |
|---|---|
| Other Name | SERAPH MEDICAL |
| Doing Business As | SERAPH MEDICAL PC |
| Entity Type | Organization |
| Authorized Contact | KEVIN MATTHEW NELSON Administrator 310-883-8920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |