Organization
JIMMY T. UY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY T UY M.D. (CEO/PRESIDENT)
(213) 413-4777
Entity
Organization
Contact information
Practice address
3576 GRIFFITH PARK BLVD, LOS ANGELES, CA 90027-1444
(323) 662-9388
(323) 662-4945
Mailing address
3576 GRIFFITH PARK BLVD, LOS ANGELES, CA 90027-1444
(323) 662-9388
(323) 662-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A40328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A403281
—
CA
01
—
A40328
MEDICARE ID
CA
Enumeration date
07/27/2007
Last updated
05/29/2015
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