SERENITY GREEN
NPI 1063276038
Student in an Organized Health Care Education/Training Program in San Diego, CA
About Serenity Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENITY GREEN (NPI 1063276038) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since February 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Serenity Green's NPI number?
The NPI number for Serenity Green is 1063276038. It was assigned to this individual provider in the NPPES registry on February 9, 2024.
Where is Serenity Green located?
Serenity Green practices at 10065 Old Grove Rd Ste 102, San Diego, CA 92131. The listed phone number is (619) 858-5479.
What is Serenity Green's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Serenity Green was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Serenity Green · NPI 1063276038
Student in an Organized Health Care Education/Training Program provider in San Diego, California. Individual provider, active in the CMS NPPES registry since February 9, 2024.
## Identity
- **NPI:** 1063276038 (Entity type: Individual)
- **Enumerated:** February 9, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 10065 OLD GROVE RD STE 102, San Diego, CA 92131-1664
- **Phone:** (619) 858-5479
## Record status
- **NPPES last updated:** February 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063276038) · Data from the CMS NPPES public registry.