Most Relevant Information
Provider Data
| NPI Number: | 1003676347 |
| Provider Name: | SERENA KE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2024 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
14445 OLIVE VIEW DR
SYLMAR
CA
913421437
Practice Location Phone/Fax
| Phone: | 7472103205 |
| Fax: |
Provider Mailing Location
4610 X ST
SACRAMENTO
CA
958172200
Provider Mailing Phone/Fax
| Phone: | 9167344800 |
| Fax: |