MEDICARE: SERENITY PACE LLC

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	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1073476420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY PACE LLC

Provider Business Mailing Address
First Line	:	515 S FLOWER ST FL 18
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90071-2201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1932 E ANAHEIM ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3908
Country	:	US
Telephone Number	:	562-478-4102
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BIOSEH OGBECHIE
Credential	:
Telephone Number	:	562-478-4102

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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Directions to “SERENITY PACE LLC ” Practice Location

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