Doctor Name: | MRS. MALIA ANN SERING |
NPI Number: | 1013198720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA 19459 |
Business Practice Address: | 3629 Vista Way Oceanside, CA - 920564522 |
Business Phone Number: | 7607577546 |
Business Fax Number: | 7608289140 |
Mailing Address: | 3629 Vista Way, OCEANSIDE |
State: | CA |
Postal Code: | 920564522 |
Phone Number: | 7607577546 |
Fax Number: | 7608289140 |
NPI Enumeration Date: | 11/21/2007 |
NPI Last Update Date: | 05/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 19459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |