Individual
CHANDRA GIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-9648
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-9648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002740
CA
Other
Enumeration date
07/18/2015
Last updated
03/25/2024
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