Jimenez, Juan Carlos
Jimenez, Juan Carlos is an individual health care provider with primary practice located at 200 Ucla Medical Plz Ste 526 , Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jimenez, Juan Carlos can be contacted via phone (310) 206-6294.Contact Information
Primary practice address
200 Ucla Medical Plz Ste 526
Los Angeles CA 90095-0001
Phone: (310) 206-6294
Fax: (310) 794-9603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A75166 | California |
Profile Details
| NPI number | 1982643318 |
|---|---|
| LBN Legal business name | Jimenez, Juan Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 20th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982643318 | NPPES |
| California | MEDICAID | 00A751660 |
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