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Contact Information

MATTHEW M JIMENEZ
2032 MARENGO ST
LOS ANGELES, CA90033-1319
 Phone: 213-383-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for MATTHEW M JIMENEZ · (Male)

NPI # 1932957867
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2024
Last updated 06/20/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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