Healthcare Provider Details

I. General information

NPI: 1407740749
Provider Name (Legal Business Name): ALMARIO SERAFIN HIPOL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8825 AERO DR STE 305
SAN DIEGO CA
92123-2270
US

IV. Provider business mailing address

13225 FRED DR
POWAY CA
92064-4202
US

V. Phone/Fax

Practice location:
  • Phone: 858-571-1964
  • Fax:
Mailing address:
  • Phone: 619-642-6632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number23138
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: