| Serenity Oasis Medical Center Inc | |
|
14558 Sylvan St Ste 104 Van Nuys CA 91411-2324 | |
| (818) 208-9344 | |
| Not Available |
| Full Name | Serenity Oasis Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14558 Sylvan St Ste 104, Van Nuys, California |
| Authorized Official Name and Position | Richard Hubbard (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 8182089344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Oasis Medical Center Inc 14558 Sylvan St Ste 104 Van Nuys CA 91411-2324 Ph: (818) 208-9344 | Serenity Oasis Medical Center Inc 14558 Sylvan St Ste 104 Van Nuys CA 91411-2324 Ph: (818) 208-9344 |
| NPI Number | 1023757242 |
|---|---|
| Provider Enumeration Date | 06/04/2022 |
| Last Update Date | 06/04/2022 |
| Medicare PECOS PAC ID | 9739561382 |
|---|---|
| Medicare Enrollment ID | O20220729001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023757242 | NPI | - | NPPES |
| C22547 | Other | CA | C22547 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Hubbard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912121799 PECOS PAC ID: 2860666039 Enrollment ID: I20111128000521 |
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