Healthcare Provider Details

I. General information

NPI: 1376205120
Provider Name (Legal Business Name): J&J TESTING ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 GREEN RIVER RD STE 108
CORONA CA
92878-2306
US

IV. Provider business mailing address

4300 GREEN RIVER RD STE 108
CORONA CA
92878-2306
US

V. Phone/Fax

Practice location:
  • Phone: 909-367-6818
  • Fax:
Mailing address:
  • Phone: 909-367-6818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMIL SYED
Title or Position: CEO
Credential:
Phone: 909-367-6818