Most Relevant Information
Provider Data
| NPI Number: | 1003373341 |
| Provider Name: | JIMMY NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/22/2019 |
| Last Updated: | 02/22/2019 |
Provider Practice Location
2400 E KATELLA AVE STE 800
ANAHEIM
CA
928065955
Practice Location Phone/Fax
| Phone: | 7148583590 |
| Fax: |
Provider Mailing Location
2400 E KATELLA AVE STE 800
ANAHEIM
CA
928065955
Provider Mailing Phone/Fax
| Phone: | 7148583590 |
| Fax: |