Organization
JDS MEDICAL BILLING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERENEA DAR JUAN VILLANUEVA (OWNER)
(626) 475-2296
Entity
Organization
Contact information
Practice address
3113 BIG DALTON AVE, UNIT B, BALDWIN PARK, CA 91706-5106
(626) 475-2296
(626) 962-7371
Mailing address
3113 BIG DALTON AVE, UNIT B, BALDWIN PARK, CA 91706-5106
(626) 475-2296
(626) 962-7371
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
991572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
991572
BUSINESS LICENSE
CA
Enumeration date
05/21/2008
Last updated
05/21/2008
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