Provider Demographics
NPI:1932947520
Name:SANCHEZ-JIMENEZ, JORGE ALBERTO (BSN)
Entity type:Individual
Prefix:MR
First Name:JORGE
Middle Name:ALBERTO
Last Name:SANCHEZ-JIMENEZ
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-6039
Mailing Address - Country:US
Mailing Address - Phone:408-334-9206
Mailing Address - Fax:831-884-1024
Practice Address - Street 1:201 9TH ST
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-6039
Practice Address - Country:US
Practice Address - Phone:408-334-9206
Practice Address - Fax:831-884-1024
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95142800163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management