MEDICARE: EMILY SERENO AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	3658	CA

General Provider Information

NPI Number	:	1023789591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY SERENO AUD

Provider Business Mailing Address
First Line	:	FILE 53726
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5405 OBERLIN DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1700
Country	:	US
Telephone Number	:	805-909-0770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	12/22/2025

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Directions to “ EMILY SERENO AUD” Practice Location

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