Healthcare Provider Details

I. General information

NPI: 1881008217
Provider Name (Legal Business Name): ARJ MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6927 BROCKTON AVE SUITE 1A
RIVERSIDE CA
92506-3805
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: 888-431-8819

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