Individual
DIEGO AXEL JIMENEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1940 E DEERE AVE STE 100, SANTA ANA, CA 92705-5718
(714) 543-4333
Mailing address
1940 E DEERE AVE STE 100, SANTA ANA, CA 92705-5718
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
08/11/2023
Last updated
09/25/2023
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