Healthcare Provider Details

I. General information

NPI: 1770354946
Provider Name (Legal Business Name): LJN CAPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 REAL RD
BAKERSFIELD CA
93309-1002
US

IV. Provider business mailing address

818 REAL RD
BAKERSFIELD CA
93309-1002
US

V. Phone/Fax

Practice location:
  • Phone: 661-370-0090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN DONEL
Title or Position: LICENSEE
Credential:
Phone: 626-715-3759