Individual provider · Type 1 NPI

Gavina Jimenez, RT1518820326

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1487576021 Active

Practice location

235 W 9th St
San Pedro, CA 90731-3711

Call (310) 521-9209 Map

Mailing address

2420 E Piru St
Compton, CA 90222-3034

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1518820326 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1487576021

Gavina Jimenez, RT1518820326's National Provider Identifier is 1487576021, issued on Jul 27, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jul 27, 2026.