Individual provider · Type 1 NPI

Jimena Jimenez

Rehabilitation Practitioner · Upland, CA

NPI number 1104504091 Active

Practice location

1425 W Foothill Blvd Fl 2
Upland, CA 91786-8007

Call (714) 966-8650 Map

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1104504091

Jimena Jimenez's National Provider Identifier is 1104504091, issued on Jul 10, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Upland, CA. The record was last updated on Aug 26, 2025.