Healthcare Provider Details

I. General information

NPI: 1053249342
Provider Name (Legal Business Name): KAREN JIMENEZ SOLIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 W VALLEY DR APT 2
CAMPBELL CA
95008-5037
US

IV. Provider business mailing address

745 W VALLEY DR APT 2
CAMPBELL CA
95008-5037
US

V. Phone/Fax

Practice location:
  • Phone: 408-230-8982
  • Fax:
Mailing address:
  • Phone: 408-230-8982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744G0900X
TaxonomyGraphics Designer
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: