Individual
JUAN JIMENEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1860 E 120TH ST, LOS ANGELES, CA 90059
(424) 239-8327
Mailing address
1000 W 130TH ST, COMPTON, CA 90222-1914
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT01009982
CA
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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