=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174488076
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YOSMEL SERRANO NURSING ANESTHESIA CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2025
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 850 S ATLANTIC BLVD STE C
-----------------------------------------------------
City | MONTEREY PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91754-4730
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-289-2894
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4259
-----------------------------------------------------
City | CERRITOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90703-4259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-407-2080
-----------------------------------------------------
Fax | 562-407-2082
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | YOSMEL SERRANO
-----------------------------------------------------
Credential | CRNA
-----------------------------------------------------
Telephone | 305-331-1145
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------