Individual
PATRICIA DELCARMEN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1718 HOLLYVISTA AVE, LOS ANGELES, CA 90027-4626
(323) 662-1052
(323) 662-0267
Mailing address
1718 HOLLYVISTA AVE, LOS ANGELES, CA 90027-4626
(323) 662-1052
(323) 662-0267
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12525
CA
Other
Enumeration date
12/28/2006
Last updated
10/27/2014
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