Individual
DR. JACQUELINE ELIZABETH SERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Mailing address
34520 BOB WILSON DR STE 100, SAN DIEGO, CA 92134-2100
(619) 532-6896
(619) 532-9184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G76179
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G76179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20431
MEDI-CAL
CA
Enumeration date
01/27/2006
Last updated
03/27/2026
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