Individual
BERENICE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ARBOR DR # MC8809, SAN DIEGO, CA 92103-1911
(619) 543-2165
(619) 543-5996
Mailing address
1400 E PALOMAR ST, CHULA VISTA, CA 91913-1800
(619) 543-2165
(619) 543-5996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A163575
CA
Other
Enumeration date
04/18/2018
Last updated
10/11/2022
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