Individual
DR. ERNESTO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 W. PUTNAM AVENUE, PORTERVILLE, CA 93257-3320
(559) 784-1110
(559) 784-2742
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7735
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A37394
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A373940
—
CA
01
—
050036290
RAILROAD MEDICARE
CA
Enumeration date
02/02/2006
Last updated
02/09/2010
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