Organization Name: | F JIMENEZ MEDICAL CORPORATION |
NPI Number: | 1023360807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCISCO JIMENEZ (CEO) |
Mailing Address: | 308 N 2nd Ave Upland |
State: | CA US |
Postal Code: | 917868325 |
Phone Number: | 9099209193 |
Fax Number: | 9099206019 |
NPI Enumeration Date: | 10/04/2012 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A40305 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |