Healthcare Provider Details

I. General information

NPI: 1831435346
Provider Name (Legal Business Name): CERES MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2013
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11177 TAMPA AVE SUITE #B
NORTHRIDGE CA
91326-2254
US

IV. Provider business mailing address

11177 TAMPA AVE SUITE #B
NORTHRIDGE CA
91326-2254
US

V. Phone/Fax

Practice location:
  • Phone: 818-366-4512
  • Fax: 818-360-6319
Mailing address:
  • Phone: 818-366-4512
  • Fax: 818-360-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. BHARAT SAOJI
Title or Position: DIRECTOR
Credential: M.D
Phone: 818-366-4512