Joel Sercarz, M.D. Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G62176 Issued in CA

Legal business name

JOEL SERCARZ, M.D. INC

Practice address

637 Euclid St
Santa Monica, CA 90402-2923

Phone

(949) 554-8276

NPI assigned

May 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joel Sercarz, M.D.

Title

Owner

Phone

(949) 554-8276

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1356752950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 EUCLID ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 EUCLID ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022923",
            "telephone_number": "949-554-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL SERCARZ, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "SERCARZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-554-8276",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G62176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.