Whalio Doctors

NPI 1598171993

Jimmy Nguyen D.D.S., INC

Organisation Preferred Provider Organization San Bernardino, CA

Practice location

Address
1918 Business Center Dr Suite 210, San Bernardino, CA 92408-3439
Phone
(909) 890-9398

Authorised official

Name
Jimmy Nguyen
Title
President/Dentist
Phone
(909) 890-9398

Registered specialties (4)

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence 57981 (CA)
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X Licence 57891 (CA)
Health Maintenance Organization
Managed Care Organizations Taxonomy 302R00000X Licence 57981 (CA)
Point of Service
Managed Care Organizations Taxonomy 305S00000X Licence 57981 (CA)

Registry record

NPI
1598171993
Entity type
Organization
NPI issued
7 Jul 2014
Record last updated
7 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.