SERENE JIN CPNP NPI 1609465954

NPI Information

NPI: 1609465954
Provider Name: SERENE JIN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
11370 ANDERSON ST
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-2799
Get Directions

Serene Jin, CPNP is a pediatrics nurse practitioner in Loma Linda, CA. Serene Jin, CPNP NPI is 1609465954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11370 ANDERSON ST
LOMA LINDA, CA
ZIP 92354-450
Phone: (909) 558-2799
Fax: (909) 558-2704

The NPI 1609465954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2021 and was last updated on 1/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	95016134	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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