Jimenez, Susana Guadalupe

Jimenez, Susana Guadalupe is an individual health care provider with primary practice located at 124 Macaw Ln , Simi Valley CA 93065-3152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jimenez, Susana Guadalupe can be contacted via phone (805) 306-0304.

Contact Information

Primary practice address
124 Macaw Ln Simi Valley CA 93065-3152
Fax: (805) 306-0102
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95010834 California

Profile Details

NPI number 1750854865
LBN Legal business name Jimenez, Susana Guadalupe
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2019
Last updated Jun 20th, 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.

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