Individual
DR. EVA JIMENEZ FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-9000
Mailing address
12223 HIGHLAND AVE, SUITE #535, RANCHO CUCAMONGA, CA 91739-2574
(909) 899-5567
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A68287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A682870
MEDI-CAL
CA
Enumeration date
10/11/2006
Last updated
12/02/2021
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