Healthcare Provider Details

I. General information

NPI: 1386102473
Provider Name (Legal Business Name): JYC COMPANY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 07/04/2020
Certification Date: 07/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7625 EASTERN AVE STE C
BELL GARDENS CA
90201-4515
US

IV. Provider business mailing address

7625 EASTERN AVE STE C
BELL GARDENS CA
90201-4515
US

V. Phone/Fax

Practice location:
  • Phone: 323-770-3800
  • Fax: 562-928-6275
Mailing address:
  • Phone: 323-770-3800
  • Fax: 562-928-6275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YUAN JEANIE SON
Title or Position: OWNER/PHARMACIST-IN-CHARGE
Credential: RPH
Phone: 323-773-3800