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NPI Code Detail

MEDICARE: MARTIN L. SEROTA M.D.

MEDICARE: MARTIN L. SEROTA M.D.
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
1207R00000XInternal Medicine PhysicianG45882CA

General Provider Information

NPI Number : 1801884911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN L. SEROTA M.D.
Provider Business Mailing Address
First Line : 2040 CAMFIELD AVE
Second Line :
City : COMMERCE
State : CA
Zip : 90040-1502
Country : US
Telephone Number : 323-725-8751
Fax Number :
Provider Business Practice Location Address
First Line : 2040 CAMFIELD AVE
Second Line :
City : COMMERCE
State : CA
Zip : 90040-1502
Country : US
Telephone Number : 323-725-8751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 12/02/2011

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Directions to “ MARTIN L. SEROTA M.D.” Practice Location

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