O Serrano Md Pllc
LBN: Oluwagbenga Serrano
O Serrano Md Pllc is an health care organization with primary practice located at 218 W White Mountain Blvd Suite C, Lakeside AZ 85929-7013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Oluwagbenga Serrano can be contacted via phone (928) 367-3637, or through Serrano, Oluwagbenga via phone (928) 367-3637.
Contact Information
Primary practice address
218 W White Mountain Blvd Suite C
Lakeside AZ 85929-7013
Phone: (928) 367-3637
Fax: (928) 367-3638
Website:
Authorized official contact:
Name: Serrano, Oluwagbenga Doctor of Medicine (MD)
Phone: (928) 367-3637
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 29877 | Arizona |
Profile Details
NPI number | 1104978600 |
---|---|
LBN Legal business name | Oluwagbenga Serrano |
DBA Doing business as | O Serrano Md Pllc |
Authorized official | Serrano, Oluwagbenga Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 17th, 2007 |
Last updated | Jan 13th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104978600 | NPPES |
Arizona | MEDICAID | 025539 |
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