Phan, Jimmy Ninh Hoang

Phan, Jimmy Ninh Hoang is an sole proprietor health care provider with primary practice located at 425 Diamond Dr Ste 103 , Lake Elsinore CA 92530-4495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phan, Jimmy Ninh Hoang can be contacted via phone (951) 981-3122.

Contact Information

Primary practice address
425 Diamond Dr Ste 103 Lake Elsinore CA 92530-4495
Phone: (951) 981-3122
Fax: (951) 981-3123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 141765 California

Profile Details

NPI number 1770928962
LBN Legal business name Phan, Jimmy Ninh Hoang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2013
Last updated Jan 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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