John Gregory Serpa in Los Angeles - Addiction (substance Use Disorder)
John Gregory Serpa - NPI 1184727158
John Gregory Serpa is a Addiction (substance Use Disorder) in Los Angeles, California. John Gregory Serpa practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Gregory Serpa is 1184727158. The last update date is 2007-07-08.
John Gregory Serpa's current location address is 11301 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3104783711 and fax number 3102684241. The mailing address for John Gregory Serpa is 11301 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gregory Serpa |
|---|---|
| Address | 11301 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3104783711 |
| Fax Number | 3102684241 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1184727158 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11301 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90073 |
| Phone Number | 3104783711 |
| Fax Number | 3102684241 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | PSY20340 |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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What is the unique 10-digit identification code assigned to John Gregory Serpa by the Centers for Medicare & Medicaid Services?
The John Gregory Serpa has been issued the NPI (National Provider Identifier) 1184727158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Gregory Serpa is physically located?
The John Gregory Serpa is situated at the following address: 11301 Wilshire Blvd, Los Angeles, CA 90073.
What is John Gregory Serpa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Gregory Serpa is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 103Ta0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184727158 to John Gregory Serpa?
The Centers for Medicare & Medicaid Services assigned the 1184727158 to John Gregory Serpa on 2006-09-06.
When was the information regarding John Gregory Serpa most recently updated?
The details pertaining to the John Gregory Serpa, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY