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NPI Code Detail

MEDICARE: MARI C SERRATO

MEDICARE: MARI C SERRATO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1457475402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARI C SERRATO
Provider Business Mailing Address
First Line : PO BOX 187
Second Line :
City : ALHAMBRA
State : CA
Zip : 91802-0187
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44 S MENTOR AVE
Second Line :
City : PASADENA
State : CA
Zip : 91106-2902
Country : US
Telephone Number : 626-795-9127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 08/27/2025

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Directions to “ MARI C SERRATO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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