Dr. Jacqueline Elizabeth Serena
Pediatrician Child Neurologist
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services
San Diego
, California 92134-1098
Dr. Jacqueline Elizabeth Serena
Pediatrician Child Neurologist
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services
San Diego
, California 92134-1098
(619) 532-6299
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Jacqueline Elizabeth Serena
- 34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services
- San Diego, CA
- Zip : 92134-1098
- Fax : (619) 532-6299
- Phone : (619) 532-6460
Second Address
- Dr. Jacqueline Elizabeth Serena
- 34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services
- San Diego, CA
- Zip : 92134-1098
- Fax : (619) 532-6299
- Phone : (619) 532-6460
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | G76179 | CA |
| Y | 2084N0402X | Child Neurologist | G76179 | CA |
National Provider Identifier
| NPI | 1346211497 |
|---|---|
| Provider Name | Dr. Jacqueline Elizabeth Serena |
| First Address | San Diego, CA 92134-1098 |
| Second Address | San Diego, CA 92134-1098 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 14/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20431 | MEDI-CAL (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.