Jimenez, Ivette Andrea

Jimenez, Ivette Andrea is an individual health care provider with primary practice located at 1260 15Th St Ste 1501 , Santa Monica CA 90404-1150. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Jimenez, Ivette Andrea can be contacted via phone (310) 656-1701.

Contact Information

Primary practice address
1260 15Th St Ste 1501 Santa Monica CA 90404-1150
Phone: (310) 656-1701
Fax: (415) 750-6614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95005150 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95005150 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95005150 California

Profile Details

NPI number 1407308844
LBN Legal business name Jimenez, Ivette Andrea
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2016
Last updated Jun 18th, 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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