MIGUEL ANGEL SERRANO-ILLAN

LOS ANGELES, CA
NPI1649910480
Other NameMIGUEL ANGEL SERRANO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A188869)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-30
Last Update Date2024-10-31
Business Address
MIGUEL ANGEL SERRANO-ILLAN
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
Mailing Address
MIGUEL ANGEL SERRANO-ILLAN
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-7419
Phone number: 310-206-6721