Mary Caizza Cerni
Family Doctor - Adult Medicine
1325 N Rose Dr Suite 203
Placentia
, California 92870-3840
Mary Caizza Cerni
Family Doctor - Adult Medicine
1325 N Rose Dr Suite 203
Placentia
, California 92870-3840
(714) 529-6122
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Mary Caizza Cerni
- 1325 N Rose Dr Suite 203
- Placentia, CA
- Zip : 92870-3840
- Fax : (714) 529-6122
- Phone : (714) 529-5674
Second Address
- Mary Caizza Cerni
- 1325 N Rose Dr Suite 203
- Placentia, CA
- Zip : 92870-3840
- Fax : (714) 529-6122
- Phone : (714) 529-5674
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Is Mary Caizza Cerni a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 20A5318 | CA |
National Provider Identifier
| NPI | 1164519989 |
|---|---|
| Provider Name | Mary Caizza Cerni |
| First Address | Placentia, CA 92870-3840 |
| Second Address | Placentia, CA 92870-3840 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 17/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C03089 | (02) | CA |
| F0732Z | MEDICARE PTAN (01) | CA |
| P01003098 | RAILROAD MEDICARE (01) | CA |
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.