Provider Demographics
NPI:1003263740
Name:SERMINO, EDUARDO R (MSW)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:R
Last Name:SERMINO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 TOCINO DR
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-1445
Mailing Address - Country:US
Mailing Address - Phone:626-851-6375
Mailing Address - Fax:
Practice Address - Street 1:535 TOCINO DR
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-1445
Practice Address - Country:US
Practice Address - Phone:626-851-6375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker