Provider Demographics
NPI:1396639969
Name:CHIMIENTI, SERAFINA
Entity type:Individual
Prefix:
First Name:SERAFINA
Middle Name:
Last Name:CHIMIENTI
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 1:551 S AVENUE H
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-2511
Mailing Address - Country:US
Mailing Address - Phone:760-255-6028
Mailing Address - Fax:
Practice Address - Street 1:551 S AVENUE H
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2511
Practice Address - Country:US
Practice Address - Phone:760-255-6028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool