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SERENA MINK L.E.
NPI 1114541463
Specialist in San Diego, CA

Active since June 02, 2020
100 PARK PLZ APT 407, SAN DIEGO, CA 92101(619) 885-4060 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serena Mink L.e. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENA MINK L.E. (NPI 1114541463) is an individual specialist in San Diego, California, licensed in California (L9642) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1114541463
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSERENA MINKCredential: L.E.
Location Address100 PARK PLZ APT 407San Diego, CA 92101-6710
Mailing Address611 K Street Suite B, #425San Diego, CA 92101 · (619) 885-4060
Phone(619) 885-4060
Sole ProprietorYes
Enumeration DateJune 2, 2020
NPPES CertifiedJune 2, 2020
✔ NPI 1114541463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · L9642
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 PARK PLZ APT 407, San Diego, CA 92101
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Serena Mink's NPI number?

The NPI number for Serena Mink is 1114541463. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Serena Mink located?

Serena Mink practices at 100 Park Plz Apt 407, San Diego, CA 92101. The listed phone number is (619) 885-4060.

What is Serena Mink's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Serena Mink was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.