MEDICARE: DR.KERI,A PROFESSIONAL CORPORATION

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
1	1223P0221X	Pediatric Dentistry	42542	CA

General Provider Information

NPI Number	:	1861833998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR.KERI,A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2226 OTAY LAKES RD
Second Line	:	STE A
City	:	CHULA VISTA
State	:	CA
Zip	:	91915-1010
Country	:	US
Telephone Number	:	619-216-7336
Fax Number	:	619-216-2084

Provider Business Practice Location Address
First Line	:	11943 EL CAMINO REAL
Second Line	:	STE 200
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2597
Country	:	US
Telephone Number	:	619-216-7336
Fax Number	:	619-216-2084

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. LAURA ELENA FLORES
Credential	:
Telephone Number	:	619-591-2642

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	07/17/2013

Similar Medicare Providers

1639330178 — SALLY AKRAWE D.D.S.
Practice Location Address:

11943 EL CAMINO REAL STE 200
SAN DIEGO, CA
92130-2597

Practice Phone: 858-336-8478
Practice Fax:

1720375520 — DR. ADAM CLAYTON STURDAVANT M.D.
Practice Location Address:

11943 EL CAMINO REAL STE 210
SAN DIEGO, CA
92130-2597

Practice Phone: 858-793-1011
Practice Fax: 858-793-1035

1710325220 — CARMEL VALLEY SURGICAL CENTER
Practice Location Address:

11943 EL CAMINO REAL , SUITE 100
SAN DIEGO, CA
92130-2597

Practice Phone: 858-259-3223
Practice Fax:

1417399411 — CARMEL VALLEY SURGICAL CENTER LLC
Practice Location Address:

11943 EL CAMINO REAL , SUITE 100
SAN DIEGO, CA
92130-2597

Practice Phone: 858-259-3223
Practice Fax: 858-259-3221

1003326224 — DR. HOSS, A PROFESSIONAL CORPORATION
Practice Location Address:

11943 EL CAMINO REAL STE 200
SAN DIEGO, CA
92130-2597

Practice Phone: 858-336-8478
Practice Fax:

1861992323 — HOSS/KERI CMV DENTAL GROUP, A PROFESSIONAL CORPORATION
Practice Location Address:

11943 EL CAMINO REAL STE 200
SAN DIEGO, CA
92130-2597

Practice Phone: 619-636-2665
Practice Fax:

Directions to “DR.KERI,A PROFESSIONAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.