Healthcare Provider Details

I. General information

NPI: 1013321132
Provider Name (Legal Business Name): ARJ MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 CORPORATE CENTER DR
POMONA CA
91768-2655
US

IV. Provider business mailing address

2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES CA
90077-1726
US

V. Phone/Fax

Practice location:
  • Phone: 909-941-3986
  • Fax:
Mailing address:
  • Phone: 310-943-4180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberA51383
License Number StateCA

VIII. Authorized Official

Name: ANDREW R. JARMINSKI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 909-941-3986