# J & J MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J&J Medical Supply LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922603018
- **Authorized official:** VICTOR VILLAFRANCA BAYAN IV (CEO)
- **Authorized official phone:** (562) 406-1028

## Contact information

- **Practice address:** 12440 FIRESTONE BLVD STE 1025, NORWALK, CA 90650-4369
- **Practice address phone:** (562) 406-1028
- **Practice address fax:** (562) 261-5655
- **Mailing address:** 12440 FIRESTONE BLVD STE 1025, NORWALK, CA 90650-4369

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 06/24/2024