MEDICARE: JET PRO SOLUTION

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	247000000X	Health Information Technician

General Provider Information

NPI Number	:	1508703588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JET PRO SOLUTION

Provider Business Mailing Address
First Line	:	PO BOX 7011
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91365-7011
Country	:	US
Telephone Number	:	818-293-8780
Fax Number	:	818-350-5308

Provider Business Practice Location Address
First Line	:	20631 VENTURA BLVD STE 302
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-6626
Country	:	US
Telephone Number	:	818-293-8780
Fax Number	:	818-350-5308

Authorized Official
Title or Position	:	CEO
Name	:	BEHNAM MIRFAKHRAEI
Credential	:
Telephone Number	:	818-293-8780

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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Directions to “JET PRO SOLUTION ” Practice Location

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