Healthcare Provider Details

I. General information

NPI: 1346579992
Provider Name (Legal Business Name): MERCEDES MARIA SERAFINI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2009
Last Update Date: 12/10/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 E PCH STE 100
LONG BEACH CA
90804-3394
US

IV. Provider business mailing address

6880 ORANGETHORPE AVE STE F
BUENA PARK CA
90620-1370
US

V. Phone/Fax

Practice location:
  • Phone: 562-490-7600
  • Fax: 562-490-7601
Mailing address:
  • Phone: 562-902-9453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS26546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: