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NPI Code Detail

MEDICARE: MS. LEILA ESPANOLA JIMENEZ R.N.

MEDICARE: MS. LEILA ESPANOLA JIMENEZ R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95004684CA
2163WP0808XPsychiatric/Mental Health Registered Nurse674776CA

General Provider Information

NPI Number : 1306237045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LEILA ESPANOLA JIMENEZ R.N.
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 BELLEFONTAINE ST STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91105-3132
Country : US
Telephone Number : 855-501-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2015
Last Update Date : 05/27/2026

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Directions to “ MS. LEILA ESPANOLA JIMENEZ R.N.” Practice Location

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