Jimenez, Matthew Moses
Jimenez, Matthew Moses is an sole proprietor health care provider with primary practice located at 2032 Marengo St , Los Angeles CA 90033-1319. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, 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, Matthew Moses can be contacted via phone (213) 383-7700.Contact Information
Primary practice address
2032 Marengo St
Los Angeles CA 90033-1319
Phone: (213) 383-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1932957867 |
|---|---|
| LBN Legal business name | Jimenez, Matthew Moses |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2024 |
| Last updated | Jun 20th, 2024 - about 2 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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