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Mirella Jimenez
Rehabilitation Practitioner in Gardena, California
NPI 1235519000

Mirella Jimenez is a Rehabilitation Practitioner based in Gardena, CA. Mirella Jimenez practices in Gardena, CA. The NPI Number for Mirella Jimenez is 1235519000 and holds a License No. (California).

The current practice location address for Mirella Jimenez is 108 W Victoria St, Gardena, CA and can be reached out via phone at 562-735-7454.

Location: 108 W Victoria St, Gardena, CA, 90248-3523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235519000
Provider Name
Mirella Jimenez
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 W Victoria St, Gardena, CA, 90248-3523
Phone Number
562-735-7454
Fax Number
Provider Enumeration Date
06/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
562-735-7454
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
562-735-7454
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
SUDRC12436 (California)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 4
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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