Individual provider · Type 1 NPI

Vanessa Jimenez

Student in an Organized Health Care Education/Training Program · Covina, CA

NPI number 1093512394 Active

Practice location

1274 Center Court Dr Ste 211
Covina, CA 91724-3668

Mailing address

1950 S Sunwest Ln Ste 200
San Bernardino, CA 92408-3248

Other practice locations

  • 1950 S Sunwest Ln Ste 200, San Bernardino, CA 92408-3248 · (909) 252-4017

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Health Educator 174H00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093512394

Vanessa Jimenez's National Provider Identifier is 1093512394, issued on Feb 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Covina, CA. The record was last updated on Aug 20, 2025.