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NPI Code Detail

MEDICARE: JAIME PIMENTEL

MEDICARE: JAIME PIMENTEL
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1063877991
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME PIMENTEL
Provider Business Mailing Address
First Line : 745 JASPER ST
Second Line : 745
City : SAN JOSE
State : CA
Zip : 95116-3377
Country : US
Telephone Number : 408-406-2446
Fax Number :
Provider Business Practice Location Address
First Line : 2010 CROW CANYON PL STE 100
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1344
Country : US
Telephone Number : 510-999-4410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2015
Last Update Date : 12/18/2015

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Directions to “ JAIME PIMENTEL ” Practice Location

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