Organization
ARSENIO I. JIMENEZ, JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARSENIO I. JIMENEZ JR. M.D. (PRESIDENT)
(760) 703-0691
Entity
Organization
Contact information
Practice address
750 E GRAND AVE, SUITE E, ESCONDIDO, CA 92025-4460
(760) 233-0777
(760) 233-8030
Mailing address
750 E GRAND AVE, SUITE E, ESCONDIDO, CA 92025-4460
(760) 233-0777
(760) 233-8030
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
204039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01703942
—
NY
Enumeration date
05/20/2006
Last updated
11/08/2007
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