Jimenez, Adella Ruth

Jimenez, Adella Ruth is an individual health care provider with primary practice located at 21935 Van Buren St , Grand Terrace CA 92313-5652. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Jimenez, Adella Ruth can be contacted via phone (909) 906-1023.

Contact Information

Primary practice address
21935 Van Buren St Grand Terrace CA 92313-5652
Phone: (909) 906-1023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 117245 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1588445621
LBN Legal business name Jimenez, Adella Ruth
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2023
Last updated Oct 23rd, 2023 - about last year

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.

Request for update

Popular Providers