Serra Community Medical Clinic Surgery Center

LBN: Serra Community Medical Clinic, Inc
Serra Community Medical Clinic Surgery Center is an health care organization with primary practice located at 9375 San Fernando Rd , Sun Valley CA 91352-1418. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Serra Community Medical Clinic, Inc can be contacted via phone (818) 768-3000, or through Durairaj, Sadayappa K via phone (818) 768-3000.

Contact Information

Primary practice address
9375 San Fernando Rd Sun Valley CA 91352-1418
Fax: (818) 504-4690
Website:
Authorized official contact:
Name: Durairaj, Sadayappa K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 930000976 California

Profile Details

NPI number 1588787790
LBN Legal business name Serra Community Medical Clinic, Inc
DBA Doing business as Serra Community Medical Clinic Surgery Center
Authorized official Durairaj, Sadayappa K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588787790 NPPES
California MEDICAID SUR01546F

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