Individual
JERRY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 N LAKE AVE, PASADENA, CA 91101-4107
(626) 568-9115
Mailing address
2702 MOZART ST, LOS ANGELES, CA 90031-3023
(323) 475-0981
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
308919
CA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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