Healthcare Provider Details

I. General information

NPI: 1043917412
Provider Name (Legal Business Name): JMJLIGON MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13402 GIRO DR
BAKERSFIELD CA
93314-6646
US

IV. Provider business mailing address

13209 INDURAN DR
BAKERSFIELD CA
93314-6642
US

V. Phone/Fax

Practice location:
  • Phone: 310-739-8661
  • Fax:
Mailing address:
  • Phone: 310-739-8661
  • Fax: 661-412-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE B LIGON
Title or Position: CEO
Credential: RN
Phone: 310-739-8661