MEDICARE: JANM MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1760328157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANM MEDICAL

Provider Business Mailing Address
First Line	:	1829 ELM AVE
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-5004
Country	:	US
Telephone Number	:	818-207-8095
Fax Number	:

Provider Business Practice Location Address
First Line	:	1829 ELM AVE
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-5004
Country	:	US
Telephone Number	:	818-207-8095
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH MELVILLE
Credential	:
Telephone Number	:	818-207-8095

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/28/2026

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Directions to “JANM MEDICAL ” Practice Location

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