Search › California › 101YA0400X
Fidel Jimenez, SUD COUNSELOR
NPI 1174019863 · on the registry since 2018 · sole proprietor
Practice
- Address
- 550 W Vista Way Ste 202
Vista, CA 92083 - Phone
- (760) 305-4777
- Organisation at this address
- Lglo, Llc
Exodus Recovery, Inc.
Exodus Recovery, Inc.
Exodus Recovery, Inc.
Embrasse Resources PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California