Jimenez, Carlos

Jimenez, Carlos is an individual health care provider with primary practice located at 321 E St Ste A , Chula Vista CA 91910-2667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Jimenez, Carlos can be contacted via phone (619) 934-3260.

Contact Information

Primary practice address
321 E St Ste A Chula Vista CA 91910-2667
Fax: (619) 934-3268
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G46465 California

Profile Details

NPI number 1982792578
LBN Legal business name Jimenez, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jun 19th, 2020 - about 4 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 1982792578 NPPES
California MEDICAID 00G464650

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