Individual
ANTONIO JIMENEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 N LAKE AVE, 1007 N. LAKE AVE, PASADENA, CA 91104-4521
(626) 808-9746
Mailing address
2626 JEFFRIES AVE, LOS ANGELES, CA 90065-1550
(909) 525-3224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
137128
CA
167G00000X
Licensed Psychiatric Technician
33379
CA
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
05/15/2026
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