Healthcare Provider Details

I. General information

NPI: 1942127030
Provider Name (Legal Business Name): JJ'S WAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 SOLITUDE DR
OAKLEY CA
94561-2298
US

IV. Provider business mailing address

716 SOLITUDE DR
OAKLEY CA
94561-2298
US

V. Phone/Fax

Practice location:
  • Phone: 424-215-4301
  • Fax:
Mailing address:
  • Phone: 424-215-4301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN WILLIAMS
Title or Position: CEO
Credential:
Phone: 424-215-4301