Healthcare Provider Details

I. General information

NPI: 1811803448
Provider Name (Legal Business Name): HJ PRIME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2712 FARMERS CENTRAL RD
WOODLAND CA
95776-5336
US

IV. Provider business mailing address

2712 FARMERS CENTRAL RD
WOODLAND CA
95776-5336
US

V. Phone/Fax

Practice location:
  • Phone: 360-559-1701
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HAMZA JAVED
Title or Position: CEO
Credential:
Phone: 360-559-1701