Jimenez, Carlos

Jimenez, Carlos is an individual health care provider with primary practice located at 9375 San Fernando Rd , Sun Valley CA 91352-1418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jimenez, Carlos can be contacted via phone (818) 768-3000.

Contact Information

Primary practice address
9375 San Fernando Rd Sun Valley CA 91352-1418
Phone: (818) 768-3000
Fax: (818) 504-4690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A31142 California

Profile Details

NPI number 1891722054
LBN Legal business name Jimenez, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Feb 7th, 2008 - about 18 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 1891722054 NPPES
California MEDICAID 00A311420

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