MATTHEW MOSES JIMENEZ

LOS ANGELES, CA
NPI1932957867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies247200000X Technician, Other
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2024-05-07
Last Update Date2024-06-20
Business Address
MATTHEW MOSES JIMENEZ
2032 MARENGO ST
LOS ANGELES, CA 90033-1319
Phone number: 213-383-7700
Mailing Address
MATTHEW MOSES JIMENEZ
1302 AMETHYST ST
REDONDO BEACH, CA 90277-2405
Phone number: