MEDICARE: JYC COMPANY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386102473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JYC COMPANY, INC

Provider Business Mailing Address
First Line	:	7625 EASTERN AVE STE C
Second Line	:
City	:	BELL GARDENS
State	:	CA
Zip	:	90201-4515
Country	:	US
Telephone Number	:	323-770-3800
Fax Number	:	562-928-6275

Provider Business Practice Location Address
First Line	:	7625 EASTERN AVE STE C
Second Line	:
City	:	BELL GARDENS
State	:	CA
Zip	:	90201-4515
Country	:	US
Telephone Number	:	323-770-3800
Fax Number	:	562-928-6275

Authorized Official
Title or Position	:	OWNER/PHARMACIST-IN-CHARGE
Name	:	YUAN JEANIE SON
Credential	:	RPH
Telephone Number	:	323-773-3800

Provider Enumeration Date	:	03/07/2019
Last Update Date	:	07/04/2020

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Directions to “JYC COMPANY, INC ” Practice Location

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