Individual
MRS. CONCEPCION JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1800 WILSHIRE BLVD, LOS ANGELES, CA 90057-3602
(213) 484-9934
(213) 484-9939
Mailing address
1800 WILSHIRE BLVD, PAJA MEDICAL GROUP,INC., LOS ANGELES, CA 90057
(213) 484-9934
(213) 484-9939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN295493, NP8740
CA
363LS0200X
School Nurse Practitioner
RN295493, NP8740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN295493, NP8740
FNP
CA
Enumeration date
08/01/2006
Last updated
02/29/2012
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