Mr Jimmy Mack Im, is a
Licensed Vocational Nurse based in San Gabriel, California. Mr Jimmy Mack Im is licensed to practice in California (license number 292252) and his current practice location is
4938 N Muscatel Ave, San Gabriel, California. He can be reached at his office (for appointments etc.) via phone at
(626) 228-9201.
NPI number for Mr Jimmy Mack Im is 1962876847 and his current mailing address is 4938 N Muscatel Ave, San Gabriel, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962876847.
Provider's Profile
Full Name | Mr Jimmy Mack Im |
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Gender | Male |
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Speciality | Licensed Vocational Nurse |
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Location | 4938 N Muscatel Ave, San Gabriel, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962876847
- Provider Enumeration Date: 11/16/2015
- Last Update Date: 11/16/2015
Medical Identifiers
Medical identifiers for Mr Jimmy Mack Im such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962876847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 292252 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jimmy Mack Im is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jimmy Mack Im, 4938 N Muscatel Ave, San Gabriel, CA 91776-2142 Ph: (626) 228-9201 | Mr Jimmy Mack Im, 4938 N Muscatel Ave, San Gabriel, CA 91776-2142 Ph: (626) 228-9201 |
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