Healthcare Provider Details

I. General information

NPI: 1285573675
Provider Name (Legal Business Name): THE AUTO RECORD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S MADERA AVE APT 109
MADERA CA
93637-5515
US

IV. Provider business mailing address

1265 N MAIN ST UNIT 64
FRANKLIN IN
46131-2802
US

V. Phone/Fax

Practice location:
  • Phone: 202-494-7358
  • Fax:
Mailing address:
  • Phone: 202-494-7358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JAGJOT JAWANDA
Title or Position: OWNER
Credential:
Phone: 202-494-7358