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NPI Code Detail

MEDICARE: SERLY ANDRIAS MS

MEDICARE: SERLY ANDRIAS MS
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
1235Z00000XSpeech-Language Pathologist17616CA

General Provider Information

NPI Number : 1619671880
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERLY ANDRIAS MS
Provider Business Mailing Address
First Line : 8341 GRENOBLE ST UNIT 22
Second Line :
City : SUNLAND
State : CA
Zip : 91040-2806
Country : US
Telephone Number : 818-939-4627
Fax Number :
Provider Business Practice Location Address
First Line : 16255 VENTURA BLVD STE 1015
Second Line :
City : ENCINO
State : CA
Zip : 91436-2318
Country : US
Telephone Number : 818-941-3388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2023
Last Update Date : 03/29/2023

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Directions to “ SERLY ANDRIAS MS” Practice Location

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