Selective Diagnostics Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A0596549 Issued in CA

Legal business name

SELECTIVE DIAGNOSTICS INC

Practice address

3432 Windspun Dr
Huntington Beach, CA 92649-2011

Phone

(800) 850-2693

Fax

(949) 258-5626

NPI assigned

Jan 13, 2014

Organization subpart

No

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

Authorized official

Name

Ronald Schilling, MD

Title

President

Phone

(800) 850-2693

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1730501693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT STE 430",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608854",
            "telephone_number": "800-850-2693",
            "fax_number": "949-258-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 WINDSPUN DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492011",
            "telephone_number": "800-850-2693",
            "fax_number": "949-258-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-850-2693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A0596549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jose L Serrano, DC, DACBR.
• Alejandra Serrato
• Deniz Sevilgen, CMT

• Physical Medicine & Rehabilitation Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.