Provider Demographics
NPI:1932375540
Name:JIMERSON, KARIM JAMAL (LVN)
Entity Type:Individual
Prefix:MR
First Name:KARIM
Middle Name:JAMAL
Last Name:JIMERSON
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11311 FIRMONA AVE
Mailing Address - Street 2:21
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90304-2642
Mailing Address - Country:US
Mailing Address - Phone:310-254-4658
Mailing Address - Fax:
Practice Address - Street 1:11311 FIRMONA AVE
Practice Address - Street 2:21
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90304-2642
Practice Address - Country:US
Practice Address - Phone:310-254-4658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-03
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA232036164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse