Individual
ROBERT JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7500
(323) 308-4456
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
831722
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011085
CA
Other
Enumeration date
08/28/2014
Last updated
03/24/2025
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