Individual
CARLOS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 E ST STE A, CHULA VISTA, CA 91910-2667
(619) 934-3260
(619) 934-3268
Mailing address
321 E ST STE A, CHULA VISTA, CA 91910-2667
(619) 934-3260
(619) 934-3268
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G46465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G464650
—
CA
Enumeration date
10/10/2006
Last updated
06/19/2020
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