Individual
DR. JIM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1335 CYPRESS ST STE 205, SAN DIMAS, CA 91773-3538
(909) 542-2777
Mailing address
1335 CYPRESS ST STE 205, SAN DIMAS, CA 91773-3538
(909) 542-2777
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A16296
CA
Other
Enumeration date
06/11/2015
Last updated
01/21/2021
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