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NPI Code Detail

MEDICARE: ELIZABETH JIMENEZ

MEDICARE: ELIZABETH JIMENEZ
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1740024785
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JIMENEZ
Provider Business Mailing Address
First Line : 8755 AERO DR STE 230
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1750
Country : US
Telephone Number : 858-256-2180
Fax Number :
Provider Business Practice Location Address
First Line : 8755 AERO DR STE 230
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1750
Country : US
Telephone Number : 858-256-2180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2024
Last Update Date : 12/09/2025

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Directions to “ ELIZABETH JIMENEZ ” Practice Location

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