Healthcare Provider Details

I. General information

NPI: 1639091663
Provider Name (Legal Business Name): JOGI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CHESTNUT ST
LODI CA
95240-4012
US

IV. Provider business mailing address

13 CHESTNUT ST
LODI CA
95240-4012
US

V. Phone/Fax

Practice location:
  • Phone: 518-445-8435
  • Fax:
Mailing address:
  • Phone: 518-445-8435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD AWAIS
Title or Position: CEO
Credential:
Phone: 518-445-8435