Basic Information
| Provider Information | |||||||||
| NPI: | 1720305600 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SERA | ||||||||
| FirstName: | ROBYN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2344 6TH STREET | ||||||||
| Address2: | ATTENTION: CREDENTIALING DEPT. | ||||||||
| City: | BERKELEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105634300 | ||||||||
| FaxNumber: | 5105532169 | ||||||||
| Practice Location | |||||||||
| Address1: | 10700 MACARTHUR BLVD | ||||||||
| Address2: | SUITE 14B | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946055298 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105634300 | ||||||||
| FaxNumber: | 5105634384 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2010 | ||||||||
| LastUpdateDate: | 03/08/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 661634 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.