Healthcare Provider Details

I. General information

NPI: 1629023585
Provider Name (Legal Business Name): JMJ THERAPEA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20955 PATHFINDER RD SUITE 200
DIAMOND BAR CA
91765-4045
US

IV. Provider business mailing address

20955 PATHFINDER RD SUITE 200
DIAMOND BAR CA
91765-4045
US

V. Phone/Fax

Practice location:
  • Phone: 909-843-6485
  • Fax: 909-843-6548
Mailing address:
  • Phone: 909-843-6485
  • Fax: 909-843-6548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. ARLENE M JAOJOCO
Title or Position: PRESIDENT
Credential:
Phone: 909-843-6485