Marcial Raya Jimenez in Stockton - Addiction (substance Use Disorder)
Marcial Raya Jimenez - NPI 1801918933
Marcial Raya Jimenez is a Addiction (substance Use Disorder) in Stockton, California. Marcial Raya Jimenez practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Marcial Raya Jimenez is 1801918933. The last update date is 2007-07-08.
Marcial Raya Jimenez's current location address is 217 E La Mesa Ave, Stockton, California. You can contact this provider via phone number 2094683560 and fax number 2094683568. The mailing address for Marcial Raya Jimenez is 217 E La Mesa Ave, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcial Raya Jimenez |
|---|---|
| Address | 217 E La Mesa Ave, Stockton, California |
| Phone Number | 2094683560 |
| Fax Number | 2094683568 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1801918933 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 217 E La Mesa Ave |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952073049 |
| Phone Number | 2094683560 |
| Fax Number | 2094683568 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | J0503011401 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marcial Raya Jimenez by the Centers for Medicare & Medicaid Services?
The Marcial Raya Jimenez has been issued the NPI (National Provider Identifier) 1801918933, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marcial Raya Jimenez is physically located?
The Marcial Raya Jimenez is situated at the following address: 217 E La Mesa Ave, Stockton, CA 952073049.
What is Marcial Raya Jimenez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marcial Raya Jimenez's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did Marcial Raya Jimenez receive its 1801918933 assignment from the Centers for Medicare & Medicaid Services?
The Marcial Raya Jimenez was assigned its 1801918933 on 2007-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Marcial Raya Jimenez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marcial Raya Jimenez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.