Individual
ELIZABETH CHRISTINE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2485 VENTURA BLVD, CAMARILLO, CA 93010-6650
(805) 364-0889
(805) 200-4434
Mailing address
1361 W 9TH AVE APT 1000, ESCONDIDO, CA 92029-2215
(508) 410-4720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400090521
MEDICARE PTAN
—
Enumeration date
12/07/2010
Last updated
08/12/2025
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