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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