SearchCalifornia103T00000X

Jacob Serry, PHD

NPI 1386009553 · on the registry since 2015 · sole proprietor

Practice

Address
4900 Cleland Ave
Los Angeles, CA 90042
Phone
(818) 640-5652

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TC2200X
103TC0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California