Individual provider · Type 1 NPI

Jonathan Im

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number 1932801131 Active

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Call (951) 788-3000 Map

Mailing address

1000 Sunset Hills Ln
Redlands, CA 92373-6960

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X204773 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932801131

Jonathan Im's National Provider Identifier is 1932801131, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Sep 1, 2026.