Provider Demographics
NPI:1467746362
Name:SERAJ, JIM SORENA (MD)
Entity type:Individual
Prefix:DR
First Name:JIM
Middle Name:SORENA
Last Name:SERAJ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24881 ALICIA PKWY # E253
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4617
Mailing Address - Country:US
Mailing Address - Phone:949-295-0342
Mailing Address - Fax:
Practice Address - Street 1:23422 PERALTA DR STE C
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1734
Practice Address - Country:US
Practice Address - Phone:949-549-1000
Practice Address - Fax:762-200-7558
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2024-07-02
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Provider Licenses
StateLicense IDTaxonomies
IL036153092208600000X
AZ51310208600000X
CAA123641208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery