Individual
ANTONIO JIMENEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5419 W SUNSET BLVD, LOS ANGELES, CA 90027-5691
(213) 276-4055
Mailing address
5419 W SUNSET BLVD STE 2, LOS ANGELES, CA 90027-6415
(213) 276-4055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
137128
CA
1041C0700X
Clinical 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
05/29/2026
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