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General NPI Number Information
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NPI Number | 1790639367
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Entity Type | Organization
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Legal Business Name | JAVIDA MEDICAL LAB AND LOGISTICS
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 20100 S WESTERN AVE STE 200
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City | TORRANCE
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State | CA
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Zip | 90501-1307
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Country | US
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Telephone | 213-977-1117
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Fax | 424-309-0971
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Provider Business Mailing Address
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Address Line | 20100 S WESTERN AVE STE 200
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City | TORRANCE
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State | CA
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Zip | 90501-1307
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Country | US
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Telephone | 213-977-1117
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Fax | 424-309-0971
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Authorized Official
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Title or Position | MANAGER
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Name | JANICE REGAL JIMENEZ
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Credential | RN
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Telephone | 310-941-2736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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