Individual
GENA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
658 W 23RD ST # 2, SAN PEDRO, CA 90731-5923
(213) 215-5450
(213) 215-5450
Mailing address
658 W 23RD ST # 2, SAN PEDRO, CA 90731-5923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
A9477164
CA
335E00000X
Prosthetic/Orthotic Supplier
—
CA
Other
Enumeration date
10/06/2025
Last updated
03/05/2026
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