Jimenez, Angela C

Jimenez, Angela C is an individual health care provider with primary practice located at 5880 S Hospital Dr , Globe AZ 85501-9447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jimenez, Angela C can be contacted via phone (928) 425-3261.

Contact Information

Primary practice address
5880 S Hospital Dr Globe AZ 85501-9447
Phone: (928) 425-3261
Fax: (928) 425-3859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A115118 California

Profile Details

NPI number 1619268463
LBN Legal business name Jimenez, Angela C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2011
Last updated Aug 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619268463 NPPES
California MEDICAID 1841217866
California MEDICAID FHC03884F
California MEDICAID FHC70593F
California Other 1841217866
California MEDICAID FHC71031F

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