Individual
DR. JIMMY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D./MBA
Contact information
Practice address
11209 NATIONAL BLVD # 270, LOS ANGELES, CA 90064-3902
(310) 367-4404
Mailing address
11209 NATIONAL BLVD # 270, LOS ANGELES, CA 90064-3902
(310) 367-4404
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
60144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60144
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
05/22/2015
Last updated
05/22/2015
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