Individual
KIMMIE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CMPSS
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Mailing address
2000 E 4TH ST STE 201, SANTA ANA, CA 92705-3907
(714) 989-8311
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/09/2026
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