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Individual

DR. JONATHAN JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1560 E CHEVY CHASE DR STE 430, GLENDALE, CA 91206-4140
(818) 243-1135
Mailing address
1560 E CHEVY CHASE DR STE 430, GLENDALE, CA 91206-4140

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
011022
AZ
208600000X
Surgery Physician
Primary
20A22142
CA

Other

Enumeration date
05/23/2019
Last updated
04/22/2025
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