Individual
DR. ELIA I JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8533
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25142
CA
Other
Enumeration date
09/17/2008
Last updated
02/03/2014
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