NPI 1235759788

Juan Jimenez, CPT

Practitioner Phlebotomy Technician Los Angeles, CA

Practice location

Address: 1860 E 120th St, Los Angeles, CA 90059
Phone: (424) 239-8327
Mailing address: 1000 W 130th St, Compton, CA 90222-1914

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence CPT01009982 (CA)

Other Technician, Pathology providers in California →

Registry record

NPI: 1235759788
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2020
Record last updated: 24 Apr 2020

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.