Jimenez, Rayeann

Jimenez, Rayeann is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jimenez, Rayeann can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAADE169846 California

Profile Details

NPI number 1487829263
LBN Legal business name Jimenez, Rayeann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Mar 24th, 2017 - about 7 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 1487829263 NPPES
California Other FHC70042F SANTA CRUZ COUNTY MEDI-CAL PTAN#
California Other FHC70044F SANTA CRUZ COUNTY MEDI-CAL PTAN#

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