Provider Demographics
NPI:1972632537
Name:VIMB, AINO (MS)
Entity type:Individual
Prefix:MS
First Name:AINO
Middle Name:
Last Name:VIMB
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10853 MOUNT GLEASON AVE
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2549
Mailing Address - Country:US
Mailing Address - Phone:818-951-1409
Mailing Address - Fax:818-951-1409
Practice Address - Street 1:10853 MOUNT GLEASON AVE
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2549
Practice Address - Country:US
Practice Address - Phone:818-951-1409
Practice Address - Fax:818-951-1409
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99324170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS