Individual provider · Type 1 NPI

Gustavo Alexander Jimenez

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

NPI number 1871477562 Active

Practice location

50 Acacia Ave
San Rafael, CA 94901-2230

Call (415) 457-4440 Map

Mailing address

94 Saint Brendan Way
Salinas, CA 93906-3718

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 1871477562

Gustavo Alexander Jimenez's National Provider Identifier is 1871477562, issued on Aug 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Aug 4, 2025.