Healthcare Provider Details

I. General information

NPI: 1508703588
Provider Name (Legal Business Name): JET PRO SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20631 VENTURA BLVD STE 302
WOODLAND HILLS CA
91364-6626
US

IV. Provider business mailing address

PO BOX 7011
WOODLAND HILLS CA
91365-7011
US

V. Phone/Fax

Practice location:
  • Phone: 818-293-8780
  • Fax: 818-350-5308
Mailing address:
  • Phone: 818-293-8780
  • Fax: 818-350-5308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: BEHNAM MIRFAKHRAEI
Title or Position: CEO
Credential:
Phone: 818-293-8780