Healthcare Provider Details

I. General information

NPI: 1013418219
Provider Name (Legal Business Name): ARACELI SERRATO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 OCEAN RANCH BLVD
OCEANSIDE CA
92056-2703
US

IV. Provider business mailing address

3708 OCEAN RANCH BLVD STE 220
OCEANSIDE CA
92056-2703
US

V. Phone/Fax

Practice location:
  • Phone: 760-967-4401
  • Fax: 760-439-9959
Mailing address:
  • Phone: 760-967-4401
  • Fax: 760-439-9959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95221028
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: