Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jimmy Mack Im

Individual provider Licensed Vocational Nurse · NPI 1962876847

Mr. Jimmy Mack Im is a Licensed Vocational Nurse in San Gabriel, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

4938 N Muscatel Ave
San Gabriel, CA 91776-2142
Phone: (626) 228-9201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 292252 (CA)

Record details

NPI number1962876847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 16, 2015
Last updated in NPPESNovember 16, 2015

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