Individual
JIMMY LIEM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
1505 N EDGEMONT ST, LOS ANGELES, CA 90027-5209
(323) 783-1770
Mailing address
10437 ANDASOL AVE, GRANADA HILLS, CA 91344-6035
(661) 309-8448
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
27276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27276
RESPIRATORY CARE BOARD OF CALIFORNIA
CA
Enumeration date
08/02/2018
Last updated
08/02/2018
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