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General NPI Number Information
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NPI Number | 1053923607
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Entity Type | Organization
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Legal Business Name | JM MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 7741 HOLLYWOOD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90046
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Country | US
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Telephone | 801-210-9091
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 N FAIRFAX AVE
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-8655
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Country | US
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Telephone | 801-210-9091
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TENNILLE SMITH
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Credential |
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Telephone | 818-481-0827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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