Mraz, Serena

Mraz, Serena is an individual health care provider with primary practice located at 2290 Sacramento St , Vallejo CA 94590-2929. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mraz, Serena can be contacted via phone (707) 643-5785.

Contact Information

Primary practice address
2290 Sacramento St Vallejo CA 94590-2929
Phone: (707) 643-5785
Fax: (707) 643-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G81439 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G81439 California

Profile Details

NPI number 1518911395
LBN Legal business name Mraz, Serena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 10th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518911395 NPPES
California MEDICAID GR0023150

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