J & D HEALTHCARE INC NPI 1659884278

NPI Information

NPI: 1659884278
Provider Name: J & D HEALTHCARE INC

Doing Business As: JUNIX MEDICAL

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
9635 MONTE VISTA AVE STE 204
MONTCLAIR, CA
ZIP 91763
Phone: (909) 906-3446
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J & D HEALTHCARE INC is a family nurse practitioner in Montclair, CA. J & D HEALTHCARE INC NPI is 1659884278. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Junix Medical.

The provider's business location address is:

9635 MONTE VISTA AVE STE 204
MONTCLAIR, CA
ZIP 91763-235
Phone: (909) 906-3446
Fax: (909) 966-4450

The provider's authorized official is Rodolfo Manzano Perez .
The authorized official title is Owner and has the following contact phone number (626) 757-1984.

The CLIA number assigned to this NPI record is 05D2286280 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	23311	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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