Provider Demographics
NPI:1952623514
Name:SERGI, KARINA (MS)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:SERGI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9535 RESEDA BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-6022
Mailing Address - Country:US
Mailing Address - Phone:818-271-7180
Mailing Address - Fax:818-450-0636
Practice Address - Street 1:1301 20TH ST STE 540
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2118
Practice Address - Country:US
Practice Address - Phone:310-582-7612
Practice Address - Fax:424-277-6342
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA52290106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist