Individual
DR. VIVIANA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
6330 SAN VICENTE BLVD STE 310, LOS ANGELES, CA 90048-5468
(310) 855-0751
Mailing address
10836 SW 89TH ST, MIAMI, FL 33176-1300
(786) 250-7559
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A194031
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
A194031
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
05/11/2026
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