Individual
HECTOR JIMENEZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 OLD TUSTIN AVE STE A, SANTA ANA, CA 92705-7865
(714) 542-0102
(714) 479-0709
Mailing address
1970 OLD TUSTIN AVE STE A, SANTA ANA, CA 92705-7865
(714) 542-0102
(714) 479-0709
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
G32020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G320200
—
CA
01
—
953526447
IRS TAX PAYER ID
CA
Enumeration date
07/28/2006
Last updated
05/17/2026
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