Teddy, Serena
Teddy, Serena is an individual health care provider with primary practice located at 9918 Katella Ave Ste C , Anaheim CA 92804-6466. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Teddy, Serena can be contacted via phone (714) 625-8320.Contact Information
Primary practice address
9918 Katella Ave Ste C
Anaheim CA 92804-6466
Phone: (714) 625-8320
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 00969551 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 51359 | California |
Profile Details
NPI number | 1043404379 |
---|---|
LBN Legal business name | Teddy, Serena |
Credentials | PA-C, MS, RD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2007 |
Last updated | Mar 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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