| Doctor Name: | MARY CAIZZA CERNI |
| NPI Number: | 1164519989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 20A5318 |
| Business Practice Address: | 1325 N Rose Dr Suite 203 Placentia, CA - 928703840 |
| Business Phone Number: | 7145295674 |
| Business Fax Number: | 7145296122 |
| Mailing Address: | 1325 N Rose Dr, Suite 203 PLACENTIA |
| State: | CA |
| Postal Code: | 928703840 |
| Phone Number: | 7145295674 |
| Fax Number: | 7145296122 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 03/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 20A5318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |