Provider Demographics
NPI:1053956151
Name:SERENE HEALTHCARELLC
Entity type:Organization
Organization Name:SERENE HEALTHCARELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SWATI
Authorized Official - Middle Name:P
Authorized Official - Last Name:MEHRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:408-757-7526
Mailing Address - Street 1:20539 SEVILLA LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4821
Mailing Address - Country:US
Mailing Address - Phone:408-757-7526
Mailing Address - Fax:
Practice Address - Street 1:19925 STEVENS CREEK BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2384
Practice Address - Country:US
Practice Address - Phone:408-800-3260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty