MEDICARE: NGUYEN TRINH & GRIMES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHY47433	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2000367	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538160783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NGUYEN TRINH & GRIMES INC

Provider Business Mailing Address
First Line	:	9746 WESTMINSTER AVE
Second Line	:	STE D4
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-2984
Country	:	US
Telephone Number	:	714-636-1881
Fax Number	:	714-636-4433

Provider Business Practice Location Address
First Line	:	9746 WESTMINSTER AVE
Second Line	:	STE D4
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-2984
Country	:	US
Telephone Number	:	714-636-1881
Fax Number	:	714-636-4433

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BINH NGUYEN NGO
Credential	:
Telephone Number	:	714-626-1881

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/25/2013

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Directions to “NGUYEN TRINH & GRIMES INC ” Practice Location

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