Individual
ANA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 SUPERIOR AVE STE 225, NEWPORT BEACH, CA 92663-3667
(949) 360-0300
(949) 360-6932
Mailing address
441 ENCLAVE CIR APT 304, COSTA MESA, CA 92626-8264
(260) 446-2724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23197
CA
363AM0700X
Medical Physician Assistant
10000833A
IN
Other
Enumeration date
04/27/2009
Last updated
12/16/2019
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