Mines, Jill Serene
Mines, Jill Serene is an individual health care provider with primary practice located at 3901 Las Posas Rd #108, Camarillo CA 93010-1501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mines, Jill Serene can be contacted via phone (805) 484-3331.Contact Information
Primary practice address
3901 Las Posas Rd #108
Camarillo CA 93010-1501
Phone: (805) 484-3331
Fax: (805) 484-3331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G059019 | California |
Profile Details
| NPI number | 1003840869 |
|---|---|
| LBN Legal business name | Mines, Jill Serene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 29th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003840869 | NPPES |
| California | MEDICAID | 00G297660 |
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