# LJ MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750993663
- **Authorized official:** MALVIS TAMON MD (CEO)
- **Authorized official phone:** (240) 426-3316

## Contact information

- **Practice address:** 121 CONGRESSIONAL LN STE 204, ROCKVILLE, MD 20852-1542
- **Practice address phone:** (301) 917-4139
- **Practice address fax:** (877) 803-4509
- **Mailing address:** 121 CONGRESSIONAL LN STE 204, ROCKVILLE, MD 20852-1542
- **Mailing address phone:** (301) 917-4139
- **Mailing address fax:** (877) 803-4509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2020
- **Last updated:** 04/30/2025
