Provider Demographics
NPI:1154292720
Name:SERENE, KITTEN
Entity type:Individual
Prefix:
First Name:KITTEN
Middle Name:
Last Name:SERENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 S LA CIENEGA BLVD STE 266
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-3115
Mailing Address - Country:US
Mailing Address - Phone:213-851-0049
Mailing Address - Fax:
Practice Address - Street 1:3336 S LA CIENEGA BLVD STE 266
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-3115
Practice Address - Country:US
Practice Address - Phone:213-851-0049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA740549164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse