Healthcare Provider Details

I. General information

NPI: 1649108960
Provider Name (Legal Business Name): J & L INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12117 SATICOY ST
NORTH HOLLYWOOD CA
91605-3025
US

IV. Provider business mailing address

12117 SATICOY ST
NORTH HOLLYWOOD CA
91605-3025
US

V. Phone/Fax

Practice location:
  • Phone: 747-277-1774
  • Fax: 747-277-1764
Mailing address:
  • Phone: 747-277-1774
  • Fax: 747-277-1764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ARPINE SIMONYAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 747-277-1774