Provider Demographics
NPI:1548047814
Name:SERRANO NATURAL HEALTH
Entity type:Organization
Organization Name:SERRANO NATURAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATYA
Authorized Official - Middle Name:AKEMI
Authorized Official - Last Name:ADACHI SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-312-5259
Mailing Address - Street 1:PO BOX 2824
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93457-2824
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:502-385-6672
Practice Address - Street 1:356 TOGNAZZINI AVE
Practice Address - Street 2:
Practice Address - City:GUADALUPE
Practice Address - State:CA
Practice Address - Zip Code:93434-1530
Practice Address - Country:US
Practice Address - Phone:805-888-2455
Practice Address - Fax:502-385-6672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty