OrganizationActive
Im Locum LLC
NPI 1053787747 · Internal Medicine Physician · Walla Walla, WA
Provider details
- NPI number
- 1053787747
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Nguyen, Sole Owner(714) 230-5151
- License
- MD60475120 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone: (702) 453-3799
Fax: (702) 453-5741
Street-level locationGet directions
Mailing address
1516 E Tropicana Ave Ste 155
Las Vegas, NV 89119-8316
Registry dates
- Enumerated
- 2015-08-17
- Last updated
- 2015-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.