Healthcare Provider Details

I. General information

NPI: 1194616433
Provider Name (Legal Business Name): CALI SERRANO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 W ADAMS BLVD STE 314
LOS ANGELES CA
90018-3515
US

IV. Provider business mailing address

24414 UNIVERSITY AVE SPC 162
LOMA LINDA CA
92354-2660
US

V. Phone/Fax

Practice location:
  • Phone: 310-553-2695
  • Fax:
Mailing address:
  • Phone: 909-914-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: