OMAR JIMENEZ JR.
NPI 1295318194
Registered Nurse - Medical-Surgical in Los Angeles, CA
Active since April 29, 2021
About Omar Jimenez Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMAR JIMENEZ JR. (NPI 1295318194) is an individual medical-surgical provider in Los Angeles, California, licensed in California (RN95230454) and active in the NPI registry since April 2021.
NPPES Registry Identity
NPI1295318194
Entity TypeIndividualMale
Primary Taxonomy163WM0705X
Provider Legal NameOMAR JIMENEZ JR.
Location Address6043 HOLLYWOOD BLVDLos Angeles, CA 90028-5411
Mailing Address11908 Bexley DrWhittier, CA 90606-2015 · (562) 556-0012
Phone(562) 556-0012
Sole ProprietorNo
Enumeration DateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1295318194 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in CA · RN95230454
6043 HOLLYWOOD BLVD, Los Angeles, CA 90028
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
LOS ANGELES, CA 90028
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295318194, enumerated as an "individual" on April 29, 2021.
The provider is located at 6043 HOLLYWOOD BLVD LOS ANGELES, CA 90028 and the phone number is (562) 556-0012.
Registered Nurse with taxonomy code 163WM0705X and a focus in Medical-Surgical.
