Active NPI
Mimi My Trang, R.N.
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1841475605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 713812
- Practice address
- 5321 Via Marisol
Los Angeles, CA 90042-4883 - Phone
- (323) 478-8200
- NPI assigned
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 713812 | CA | Primary |
Addresses
Primary practice location
5321 Via Marisol
Los Angeles, CA 90042-4883
Mailing address
9079 Lyledale St
Temple City, CA 91780-2317
Phone (626) 226-7129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713812 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1841475605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9079 LYLEDALE ST",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917802317",
"telephone_number": "626-226-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 VIA MARISOL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424883",
"telephone_number": "323-478-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRANG",
"first_name": "MIMI",
"middle_name": "MY",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "713812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.