Search › California › 101YA0400X
Jimmy Hearon
NPI 1053861393 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7240 E Southgate Dr Ste G
Sacramento, CA 95823 - Phone
- (916) 391-4293
- Organisation at this address
- Tam Hoang Nguyen
Medmark Treatment Services
Medmark Treatment Centers - Sacramento, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California