Mrs. Elia Jimenez
Dental Assistant
15913 Georgia Ave
Paramount
, California 90723-5103
Mrs. Elia Jimenez
Dental Assistant
15913 Georgia Ave
Paramount
, California 90723-5103
(562) 630-7012
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Elia Jimenez
- 15913 Georgia Ave
- Paramount, CA
- Zip : 90723-5103
- Phone : (562) 630-7012
Second Address
- Mrs. Elia Jimenez
- 15913 Georgia Ave
- Paramount, CA
- Zip : 90723-5103
- Phone : (562) 630-7012
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 37312 | CA |
National Provider Identifier
| NPI | 1174761894 |
|---|---|
| Provider Name | Mrs. Elia Jimenez |
| First Address | Paramount, CA 90723-5103 |
| Second Address | Paramount, CA 90723-5103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.