DR. JIM SORENA SERAJ (NPI# 1467746362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467746362 |
| Entity Type | Individual |
| Full Name | DR. JIM SORENA SERAJ |
| Credential | M.D. |
| Practice Address |
24881 Alicia Pkwy E253 Laguna Hills CA 92653-4617 |
| Mailing Address |
24881 Alicia Pkwy # E253 Laguna Hills CA 92653-4617 |
| Practice Telephone | 9492950342 |
| Mailing Telephone | 9492950342 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A123641 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
24881 ALICIA PKWY E253 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225180474 | Sara Gilles | Physical Therapist | 24881 Alicia Pkwy, E 517, Laguna Hills, CA 92653-4617 | 2007-01-17 |
| 1992052369 | Allameh Medical Corporation | Internal Medicine | 24881 Alicia Pkwy, Unit N, Laguna Hills, CA 92653-4617 | 2012-08-05 |
| 1467606053 | Reza Allamehzadeh | Internal Medicine | 24881 Alicia Pkwy, Suit N, Laguna Hills, CA 92653-4617 | 2008-11-09 |
| 1821258278 | Payam C Ataii, Dmd, Inc | Dentist | 24881 Alicia Pkwy, Suite # H, Laguna Hills, CA 92653-4617 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205049665 | Lisa Majer Do A Professional Corporation | General Practice | 24411 Health Center Dr, Ste 510, Laguna Hills, CA 92653-3651 | 2007-05-08 |
| 1487611083 | Robert Barry Sklar | General Practice | 26072 Merit Cir, Suite 119, Laguna Hills, CA 92653-7015 | 2006-04-27 |
| 1407813199 | Robert Norman Green | General Practice | 26072 Merit Cir, Suite #119, Laguna Hills, CA 92653-7015 | 2006-04-27 |
| 1215915053 | Yanbing Zeng | General Practice | 24953 Paseo De Valencia, 29a, Laguna Hills, CA 92653-4342 | 2006-01-03 |
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| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.