Provider Demographics
NPI:1871477570
Name:JIMENEZ, EVANGELINA (INTERPRETING)
Entity type:Individual
Prefix:
First Name:EVANGELINA
Middle Name:
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:INTERPRETING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7426 CHERRY AVE STE 210-223
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-4221
Mailing Address - Country:US
Mailing Address - Phone:951-452-3263
Mailing Address - Fax:
Practice Address - Street 1:7426 CHERRY AVE STE 210-223
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-4221
Practice Address - Country:US
Practice Address - Phone:951-452-3263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA003870171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter