Individual provider · Type 1 NPI
Desiree Jimmy, RN
General Practice Registered Nurse · Los Angeles, CA
NPI number
1104578566
Active
Practice location
1174 Montecito Dr
Los Angeles, CA 90031-1637
Mailing address
15101 Fairfield Ranch Rd
Chino Hills, CA 91709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 95396299 (CA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1104578566
Desiree Jimmy, RN's National Provider Identifier is 1104578566, issued on Jan 26, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 26, 2025.