Provider Demographics
NPI:1386675684
Name:SERIO, DON J (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:J
Last Name:SERIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:722 E MAGNOLIA BLVD
Mailing Address - Street 2:#C
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2624
Mailing Address - Country:US
Mailing Address - Phone:818-955-5197
Mailing Address - Fax:818-955-7613
Practice Address - Street 1:722 E MAGNOLIA BLVD
Practice Address - Street 2:#C
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91501-2624
Practice Address - Country:US
Practice Address - Phone:818-955-5197
Practice Address - Fax:818-955-7613
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor