Healthcare Provider Details

I. General information

NPI: 1881521409
Provider Name (Legal Business Name): SAREENA INJEAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N LAKE AVE STE 600
PASADENA CA
91101-5129
US

IV. Provider business mailing address

301 N LAKE AVE STE 600
PASADENA CA
91101-5129
US

V. Phone/Fax

Practice location:
  • Phone: 310-363-2056
  • Fax:
Mailing address:
  • Phone: 310-363-2056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95386271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: