Healthcare Provider Details

I. General information

NPI: 1659288785
Provider Name (Legal Business Name): SERAM VILLAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

224 JET STRM
TUSTIN CA
92782-6525
US

IV. Provider business mailing address

224 JET STRM
TUSTIN CA
92782-6525
US

V. Phone/Fax

Practice location:
  • Phone: 626-589-4932
  • Fax:
Mailing address:
  • Phone: 626-589-4932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: SARAH J. YOON
Title or Position: OWNER
Credential: RN, WHNP, CNM, IBCLC
Phone: 626-589-4932