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Individual

ADRIAN JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 ST PAUL AVE, 200, LOS ANGELES, CA 90017-2038
(213) 482-6400
(213) 482-6408
Mailing address
600 ST PAUL AVE, 200, LOS ANGELES, CA 90017-2038
(213) 482-6400
(213) 482-6408

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
225400000X
Rehabilitation Practitioner

Other

Enumeration date
09/26/2013
Last updated
10/05/2015
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