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Individual

OMAR JIMENEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-5411
(562) 556-0012
Mailing address
11908 BEXLEY DR, WHITTIER, CA 90606-2015
(562) 556-0012

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN95230454
CA

Other

Enumeration date
04/29/2021
Last updated
04/29/2021
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