Individual
SERENA FERMIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3401 S HARBOR BLVD, SANTA ANA, CA 92704-7933
(833) 574-2273
Mailing address
15775 LAGUNA CANYON RD STE 100, IRVINE, CA 92618-3190
(949) 417-0272
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53609
CA
Other
Enumeration date
06/10/2016
Last updated
12/06/2021
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