Individual provider · Type 1 NPI

Edith Jimenez

Licensed Psychiatric Technician · Ontario, CA

NPI number 1316672801 Active

Practice location

2940 Inland Empire Blvd
Ontario, CA 91764-4898

Call (909) 458-1350 Map

Mailing address

1517 S Sultana Ave
Ontario, CA 91761-4239

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X32810 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1316672801

Edith Jimenez's National Provider Identifier is 1316672801, issued on Jul 19, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Ontario, CA. The record was last updated on Jul 19, 2022.