Healthcare Provider Details

I. General information

NPI: 1184533093
Provider Name (Legal Business Name): IJL VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 CAPPS AVE
NORTHRIDGE CA
91324-4729
US

IV. Provider business mailing address

8300 CAPPS AVE
NORTHRIDGE CA
91324-4729
US

V. Phone/Fax

Practice location:
  • Phone: 818-326-5505
  • Fax: 818-279-6305
Mailing address:
  • Phone: 818-326-5505
  • Fax: 818-279-6305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: FLORAINE DOMINGO
Title or Position: CO-ADMINISTRATOR
Credential:
Phone: 818-237-6783