Organization
MJ MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ELLEN MARINO (COMPLIANCE OFFICER)
(516) 526-5350
Entity
Organization
Contact information
Practice address
3532 KATELLA AVE STE 112, LOS ALAMITOS, CA 90720-3145
(619) 644-2695
Mailing address
8893 LA MESA BLVD, SUITE E, LA MESA, CA 91942-5448
(619) 644-2695
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
07/09/2024
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