MIRELLA JIMENEZ NPI 1235519000

NPI Information

  • NPI: 1235519000
  • Provider Name: MIRELLA JIMENEZ
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 108 W VICTORIA ST
    GARDENA, CA
    ZIP 90248
  • Phone: (562) 735-7454

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NPI Details

Mirella Jimenez is a day training habilitation specialist in Gardena, CA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Mirella Jimenez NPI is 1235519000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 W VICTORIA ST
GARDENA, CA
ZIP 90248-523
Phone: (562) 735-7454

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)SUDRC12436CALIFORNIANo
2101Y00000XCounselorNo
3171M00000XCase Manager/Care CoordinatorNo
4225400000XRehabilitation PractitionerNo
5373H00000XDay Training/Habilitation SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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