| Noel Serrano Md Pc | |
|
6117 Fairlane Dr Oakland CA 94611-1807 | |
| (707) 535-9279 | |
| Not Available |
| Full Name | Noel Serrano Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6117 Fairlane Dr, Oakland, California |
| Authorized Official Name and Position | Noel Serrano (OWNER) |
| Authorized Official Contact | 7075359279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noel Serrano Md Pc 6117 Fairlane Dr Oakland CA 94611-1807 Ph: () - | Noel Serrano Md Pc 6117 Fairlane Dr Oakland CA 94611-1807 Ph: (707) 535-9279 |
| NPI Number | 1154010072 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 6800246893 |
|---|---|
| Medicare Enrollment ID | O20240103003281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154010072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Noel Serrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700925211 PECOS PAC ID: 4789636325 Enrollment ID: I20100902000739 |
| Provider Name | Vishnuvardhan R Komari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790929966 PECOS PAC ID: 8325203839 Enrollment ID: I20170523001700 |
| Provider Name | Mary Jane N Salo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174092902 PECOS PAC ID: 5294077913 Enrollment ID: I20190430000686 |
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