Individual ProviderManuel SeraydarianPharmacistPharmacy Service ProvidersPractice Address513 Parnassus Ave Rm S960, San Francisco, CA 94143-2205(818) 285-9373PECOS EnrollmentBased on the most recent information from CMS, provider Manuel Seraydarian does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1386265437Provider TypeIndividualFull NameSeraydarian, ManuelGenderMaleSole ProprietorYesEnumeration Date4/29/2020Last Updated5/9/2022Contact InformationPractice LocationPractice Address513 Parnassus Ave Rm S960, San Francisco, CA 94143-2205Phone(818) 285-9373FaxUnlisted FaxMailing LocationMailing Address513 Parnassus Ave Rm S960, San Francisco, CA 94143-2205PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense85434CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense42885California