Jimenez, Eric

Jimenez, Eric is an individual health care provider with primary practice located at 7731 Trask Ave Apt 102 , Westminster CA 92683-2301. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Jimenez, Eric can be contacted via phone (714) 818-8561.

Contact Information

Primary practice address
7731 Trask Ave Apt 102 Westminster CA 92683-2301
Phone: (714) 818-8561
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X F2677469 California

Profile Details

NPI number 1154913499
LBN Legal business name Jimenez, Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2021
Last updated Feb 8th, 2021 - 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 1154913499 NPPES
California MEDICAID 90879666E37233

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