Organization Name: | M A JIMENEZ INC |
NPI Number: | 1053596452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIO A. JIMENEZ (PHARMACIST/OWNER) |
Mailing Address: | 14300 Ramona Blvd Baldwin Park |
State: | CA US |
Postal Code: | 917063241 |
Phone Number: | 6263371550 |
Fax Number: | 6263370660 |
NPI Enumeration Date: | 01/03/2008 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PHY35802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |