Individual provider · Type 1 NPI

Bryan Jimenez

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

NPI number 1669946091 Active

Practice location

480 Alta Rd
San Diego, CA 92179-0001

Call (619) 661-6500 Map

Mailing address

1915 Porter St
San Bernardino, CA 92407-6539

Specialties and licenses

TaxonomyCodeLicense
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 1669946091

Bryan Jimenez's National Provider Identifier is 1669946091, issued on Jan 18, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Oct 21, 2025.