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General NPI Number Information
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NPI Number | 1477212520
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Entity Type | Organization
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Legal Business Name | J & R HEALTHY LIVING INC.
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 13627 MAGNOLIA AVE
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City | CORONA
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State | CA
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Zip | 92879-2038
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Country | US
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Telephone | 562-708-6863
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Fax | 951-531-8043
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Provider Business Mailing Address
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Address Line | 13877 HOLLYWOOD AVE
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City | EASTVALE
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State | CA
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Zip | 92880-8822
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Country | US
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Telephone | 562-708-6863
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Fax | 951-977-9645
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. RAMY MASSOUD
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Credential | OWNER
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Telephone | 562-708-6863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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