Individual
DANIEL JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N TUSTIN AVE, STE 601, SANTA ANA, CA 92705-3610
(714) 565-1077
(714) 565-1086
Mailing address
801 N TUSTIN AVE, STE 601, SANTA ANA, CA 92705-3610
(714) 565-1077
(714) 565-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G75231
CA
Other
Enumeration date
02/23/2007
Last updated
04/19/2011
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