# JA MEDICAL SUPPLIES.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JA Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194958108
- **Authorized official:** MRS. MICHELLE ANDREA MADRIGAL (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (909) 868-1160

## Contact information

- **Practice address:** 675 N PARK AVE, POMONA, CA 91768-3622
- **Practice address phone:** (909) 868-1160
- **Practice address fax:** (909) 469-6086
- **Mailing address:** 675 N PARK AVE, POMONA, CA 91768-3622
- **Mailing address phone:** (909) 868-1160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | C37948 | CA | Yes |

## Other

- **Enumeration date:** 08/25/2009
- **Last updated:** 08/25/2009