Jill Serene Mines
Dermatologist
3901 Las Posas Rd #108
Camarillo
, California 93010-1501
Jill Serene Mines
Dermatologist
3901 Las Posas Rd #108
Camarillo
, California 93010-1501
(805) 484-3331
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Jill Serene Mines
- 3901 Las Posas Rd #108
- Camarillo, CA
- Zip : 93010-1501
- Fax : (805) 484-3331
- Phone : (805) 484-3331
Second Address
- Jill Serene Mines
- 3901 Las Posas Rd #108
- Camarillo, CA
- Zip : 93010-1501
- Fax : (805) 484-3331
- Phone : (805) 484-3331
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FAQs
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What type of doctor is Jill Serene Mines
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Is Jill Serene Mines a sole practitioner?
Is Jill Serene Mines accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | G059019 | CA |
National Provider Identifier
| NPI | 1003840869 |
|---|---|
| Provider Name | Jill Serene Mines |
| First Address | Camarillo, CA 93010-1501 |
| Second Address | Camarillo, CA 93010-1501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 29/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G297660 | (05) | CA |
| A93527 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.