Individual
CARLOS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9375 SAN FERNANDO RD, SUN VALLEY, CA 91352-1418
(818) 768-3000
(818) 504-4690
Mailing address
9375 SAN FERNANDO RD, SUN VALLEY, CA 91352-1418
(818) 768-3000
(818) 504-4690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A31142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A311420
—
CA
Enumeration date
06/26/2006
Last updated
02/07/2008
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