MATDAN LJ INC NPI 1104645712

NPI Information

NPI: 1104645712
Provider Name: MATDAN LJ INC
Classification: Pharmacy - 3336L0003X
Specialization: Long Term Care Pharmacy
Entity Type: Organization
Address: 488 E VALLEY PKWY STE 101
ESCONDIDO, CA
ZIP 92025
Phone: (760) 294-0014

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NPI Details

MATDAN LJ INC is a long term care pharmacy pharmacy in Escondido, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MATDAN LJ INC NPI is 1104645712. The provider is registered as an organization entity type.

The provider's business location address is:

488 E VALLEY PKWY STE 101
ESCONDIDO, CA
ZIP 92025-324
Phone: (760) 294-0014
Fax: (760) 294-0066

The provider's authorized official is Bassam Massaad .
The authorized official title is Owner and has the following contact phone number (760) 294-0014.

The enumeration date for this NPI number is 10/9/2024 and was last updated on 10/17/2024.

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	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51469	OTHER	CALIFORNIA	BOARD OF PHARMACY

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: 3/30/2025

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