Irma Jazmin Jimenez Landeros
Individual provider Active NPI Counselor · Pinedale, CA
NPI 1386296804 · NPPES record last updated Aug 2, 2019
Key facts
- NPI
- 1386296804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 40 E Minarets Ave
Pinedale, CA 93650-1239 - Phone
- (559) 436-0482
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
40 E Minarets Ave
Pinedale, CA 93650-1239
Mailing address
40 E Minarets Ave
Pinedale, CA 93650-1239
Phone (559) 436-0482
Other providers in Pinedale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.