Provider Demographics
NPI:1730430844
Name:BIMSTEIN, JAIME (RN, MSN, FNP)
Entity type:Individual
Prefix:MR
First Name:JAIME
Middle Name:
Last Name:BIMSTEIN
Suffix:
Gender:M
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 EUCLID AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2957
Mailing Address - Country:US
Mailing Address - Phone:619-475-4575
Mailing Address - Fax:619-475-4578
Practice Address - Street 1:655 EUCLID AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2957
Practice Address - Country:US
Practice Address - Phone:619-475-4575
Practice Address - Fax:619-475-4578
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22377363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily