Edward R Serros Md Inc

LBN: Edward R Serros Md Inc
Edward R Serros Md Inc is an health care organization with primary practice located at 7223 Church St Suite A-20, Highland CA 92346-5812. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Edward R Serros Md Inc can be contacted via phone (909) 882-0702, or through Swanson, Kimberly Diane via phone (909) 882-0702.

Contact Information

Primary practice address
7223 Church St Suite A-20 Highland CA 92346-5812
Phone: (909) 882-0702
Fax: (909) 886-6704
Website:
Map and Directions
Authorized official contact:
Name: Swanson, Kimberly Diane
Phone: (909) 882-0702

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G30299 California

Profile Details

NPI number 1669492591
LBN Legal business name Edward R Serros Md Inc
DBA Doing business as
Authorized official Swanson, Kimberly Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 18th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669492591 NPPES
California MEDICAID 00G302990

Popular Providers