Individual provider · Type 1 NPI

Edgar Leonel Jimenez

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

NPI number 1982142410 Active

Practice location

555 Reservoir Dr ., Suite 204-A
San Diego, CA 92120

Call (619) 822-1800 Map

Mailing address

PO Box 1764
Camarillo, CA 93011-1764

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor 101YM0800XNone listed
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 1982142410

Edgar Leonel Jimenez's National Provider Identifier is 1982142410, issued on Feb 3, 2017. 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 Mar 18, 2022.