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NPI Code Detail

MEDICARE: SERAPHINE T MOHLIE PA

MEDICARE: SERAPHINE T MOHLIE PA
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
1363AM0700XMedical Physician Assistant013104NY
2363AS0400XSurgical Physician Assistant013104NY
3363A00000XPhysician Assistant013104NY

General Provider Information

NPI Number : 1700110236
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERAPHINE T MOHLIE PA
Provider Business Mailing Address
First Line : 9709 ARTESIA BLVD STE 201
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-8008
Country : US
Telephone Number : 631-304-9985
Fax Number :
Provider Business Practice Location Address
First Line : 1100 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3524
Country : US
Telephone Number : 909-381-3774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2009
Last Update Date : 09/18/2024

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Directions to “ SERAPHINE T MOHLIE PA” 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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