Individual provider · Type 1 NPI

Brian Im, PA

Physician Assistant · Rancho Cucamonga, CA

NPI number 1700186491 Active

Practice location

6417 Haven Ave Ste 110
Rancho Cucamonga, CA 91737-3804

Call (909) 941-2273 Map

Fax (909) 477-8830

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA21262 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700186491

Brian Im, PA's National Provider Identifier is 1700186491, issued on Oct 27, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Mar 6, 2026.