Individual
KATHLEEN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 S FIGUEROA ST, LOS ANGELES, CA 90015-3422
(213) 763-0311
Mailing address
730 W AVENUE J8, LANCASTER, CA 93534-4903
(661) 917-5337
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
05/13/2025
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