Provider Demographics
NPI:1841006897
Name:HASHEMI SERNA, NADIA
Entity type:Individual
Prefix:MS
First Name:NADIA
Middle Name:
Last Name:HASHEMI SERNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26362 MOORSVIEW
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-6710
Mailing Address - Country:US
Mailing Address - Phone:949-606-2995
Mailing Address - Fax:
Practice Address - Street 1:26362 MOORSVIEW
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-6710
Practice Address - Country:US
Practice Address - Phone:949-606-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA700729171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter