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NPI Code Detail

MEDICARE: CERES MEDICAL SERVICES INC.

MEDICARE: CERES MEDICAL SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1831435346
Entity Type Code : Organization
Provider Name (Legal Business Name) : CERES MEDICAL SERVICES INC.
Provider Business Mailing Address
First Line : 11177 TAMPA AVE
Second Line : SUITE #B
City : NORTHRIDGE
State : CA
Zip : 91326-2254
Country : US
Telephone Number : 818-366-4512
Fax Number : 818-360-6319
Provider Business Practice Location Address
First Line : 11177 TAMPA AVE
Second Line : SUITE #B
City : NORTHRIDGE
State : CA
Zip : 91326-2254
Country : US
Telephone Number : 818-366-4512
Fax Number : 818-360-6319
Authorized Official
Title or Position : DIRECTOR
Name : MR. BHARAT SAOJI
Credential : M.D
Telephone Number : 818-366-4512
Provider Enumeration Date : 01/02/2013
Last Update Date : 01/02/2013

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Directions to “CERES MEDICAL SERVICES INC. ” Practice Location

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