Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael S Jimenez, IDC

Individual provider Independent Duty Corpsman · NPI 1023143575

Michael S Jimenez, IDC is an Independent Duty Corpsman in Chula Vista, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

754 Rambur St
Chula Vista, CA 91911-6929
Phone: (619) 572-8323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1023143575
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 26, 2007
Mailing address754 Rambur St, Chula Vista, CA 91911-6929

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