Jimenez, Fidel

Jimenez, Fidel is an sole proprietor health care provider with primary practice located at 550 W Vista Way Ste 202 , Vista CA 92083-5736. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jimenez, Fidel can be contacted via phone (760) 305-4777.

Contact Information

Primary practice address
550 W Vista Way Ste 202 Vista CA 92083-5736
Phone: (760) 305-4777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9851 California

Profile Details

NPI number 1174019863
LBN Legal business name Jimenez, Fidel
Credentials SUD COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2018
Last updated Jul 9th, 2021 - about 5 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 1174019863 NPPES
California Other 9851 CALIFORNIA ASSOCIATION OF DUI TREATMENT PROGRAMS

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