SearchCalifornia101YA0400X

Stephanie Jimenez

NPI 1174371645 · on the registry since 2024 · sole proprietor

Practice

Address
4445 Burns Ave
Los Angeles, CA 90029
Phone
(323) 222-1400
Clinicians at this address
117

Additional practice sites

  • 11027 Burbank Blvd, North Hollywood, CA
  • 3619 N Mission Rd, Lincoln Heights, CA

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-30

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