Healthcare Provider Details

I. General information

NPI: 1861106346
Provider Name (Legal Business Name): CRISTINA ELENA SERRANO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14371 CLARK AVE
BELLFLOWER CA
90706-2901
US

IV. Provider business mailing address

6711 DELTA AVE
LONG BEACH CA
90805-2022
US

V. Phone/Fax

Practice location:
  • Phone: 310-270-8345
  • Fax:
Mailing address:
  • Phone: 310-654-5763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT126155
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT163143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: