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Organization

MICHAEL ANGEL JIMENEZ, MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL ANGEL JIMENEZ M.D. (PRESIDENT)
(424) 213-4290
Entity
Organization

Contact information

Practice address
3628 E IMPERIAL HWY, SUITE 401, LYNWOOD, CA 90262-2643
(424) 213-4290
(424) 213-4290
Mailing address
3628 E IMPERIAL HWY, SUITE 401, LYNWOOD, CA 90262-2643
(424) 213-4290
(424) 213-4290

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A120714
CA
2086S0102X
Surgical Critical Care Physician
A120714
CA
2086S0127X
Trauma Surgery Physician
Primary
A120714
CA

Other

Enumeration date
03/19/2013
Last updated
03/19/2013
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