MR. JIMMY MACK IM
NPI 1962876847
Licensed Vocational Nurse in San Gabriel, CA
- Individual
- Male
- Licensed Vocational Nurse
About JIMMY IM
This page provides the complete NPI Profile along with additional information for Jimmy Im, a provider established in San Gabriel, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1962876847 assigned on November 2015. The practitioner's primary taxonomy code is 164X00000X with license number 292252 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1962876847 Verify this NPI
- Provider Name
- MR. JIMMY MACK IM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4938 N MUSCATEL AVE SAN GABRIEL, CA 91776
- Location Phone
- (626) 228-9201
- Mailing Address
- 4938 N MUSCATEL AVE SAN GABRIEL, CA 91776
- Mailing Phone
- (626) 228-9201
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-16-2015
- Last Update Date
- 11-16-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Vocational Nurse
- Taxonomy Code
- 164X00000X
- Type
- Nursing Service Providers
- License No.
- 292252
- License State
- CA
- Taxonomy Description
- A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962876847, enumerated as an "individual" on November 16, 2015.
The provider is located at 4938 N MUSCATEL AVE SAN GABRIEL, CA 91776 and the phone number is (626) 228-9201.
Licensed Vocational Nurse with taxonomy code 164X00000X.
