MEDICARE: ZENIA PALMENO-SERRANO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	52997	CA
2	106H00000X	Marriage & Family Therapist	IMF 55560	CA

General Provider Information

NPI Number	:	1538340724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZENIA PALMENO-SERRANO LMFT

Provider Business Mailing Address
First Line	:	5555 RESERVOIR DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 RESERVOIR DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5134
Country	:	US
Telephone Number	:	619-822-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	01/13/2026

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