Individual
JIMMY-HIEU NGUYEN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13522 NEWPORT AVE, TUSTIN, CA 92780-3707
(714) 987-1121
Mailing address
PO BOX 5532, IRVINE, CA 92616-5532
(714) 987-1121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015218
CA
Other
Enumeration date
02/18/2022
Last updated
07/09/2025
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