| Michelle Jimenez | |
|
12821 Newport Ave Tustin CA 92780-2711 | |
| (562) 537-1905 | |
| (714) 333-4840 |
| Full Name | Michelle Jimenez |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12821 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Michelle L Jimenez (OWNER) |
| Authorized Official Contact | 5625371905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Jimenez 12821 Newport Ave Tustin CA 92780-2711 Ph: (562) 537-1905 | Michelle Jimenez 12821 Newport Ave Tustin CA 92780-2711 Ph: (562) 537-1905 |
| NPI Number | 1356943146 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/20/2020 |
| Certification Date | 11/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356943146 | NPI | - | NPPES |
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