Provider Demographics
NPI:1538160783
Name:NGUYEN TRINH & GRIMES INC
Entity type:Organization
Organization Name:NGUYEN TRINH & GRIMES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BINH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN NGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-626-1881
Mailing Address - Street 1:9746 WESTMINSTER AVE
Mailing Address - Street 2:STE D4
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-2984
Mailing Address - Country:US
Mailing Address - Phone:714-636-1881
Mailing Address - Fax:714-636-4433
Practice Address - Street 1:9746 WESTMINSTER AVE
Practice Address - Street 2:STE D4
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2984
Practice Address - Country:US
Practice Address - Phone:714-636-1881
Practice Address - Fax:714-636-4433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY474333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000367OtherPK
CAPHA474330Medicaid
1197250001Medicare NSC