MEDICARE: SERENITY HEALTHCARE PARTNERS INC

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1235709387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY HEALTHCARE PARTNERS INC

Provider Business Mailing Address
First Line	:	1111 W 6TH ST STE 111
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1823
Country	:	US
Telephone Number	:	818-535-9408
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 W 6TH ST STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1895
Country	:	US
Telephone Number	:	818-535-9408
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. BARBARA SMITHLEY
Credential	:
Telephone Number	:	760-715-2669

Provider Enumeration Date	:	06/30/2021
Last Update Date	:	08/23/2021

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Directions to “SERENITY HEALTHCARE PARTNERS INC ” Practice Location

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