| Doctor Name: | DR. JIM SORENA SERAJ |
| NPI Number: | 1467746362 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A123641 |
| Business Practice Address: | 24881 Alicia Pkwy E253 Laguna Hills, CA - 926534617 |
| Business Phone Number: | 9492950342 |
| Business Fax Number: | 6196379357 |
| Mailing Address: | 24881 Alicia Pkwy # E253, LAGUNA HILLS |
| State: | CA |
| Postal Code: | 926534617 |
| Phone Number: | 9493577246 |
| Fax Number: | 6196379357 |
| NPI Enumeration Date: | 06/08/2011 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A123641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |