NPI 1174761894

Elia Jimenez, RDA

Practitioner Dental Assistant Paramount, CA

Practice location

Address: 15913 Georgia Ave, Paramount, CA 90723-5103
Phone: (562) 630-7012

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 37312 (CA)

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Registry record

NPI: 1174761894
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2009
Record last updated: 3 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.