Healthcare Provider Details

I. General information

NPI: 1235094368
Provider Name (Legal Business Name): JH IMPORTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3821 RAY ST
SAN DIEGO CA
92104-3622
US

IV. Provider business mailing address

3821 RAY ST
SAN DIEGO CA
92104-3622
US

V. Phone/Fax

Practice location:
  • Phone: 619-907-8440
  • Fax:
Mailing address:
  • Phone: 619-907-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: JENNA HANSON
Title or Position: CEO/REGISTED LENS DISPENSER
Credential:
Phone: 661-972-4640