Organization
J, L AND J, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA LOVE (MANAGER)
(424) 213-4290
Entity
Organization
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD, SUITE 404, LYNWOOD, CA 90262-3513
(424) 213-4290
(424) 213-4295
Mailing address
3737 MARTIN LUTHER KING JR BLVD, SUITE 404, LYNWOOD, CA 90262-3513
(424) 213-4290
(424) 213-4295
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A62260
CA
2086S0102X
Surgical Critical Care Physician
A62260
CA
2086S0127X
Trauma Surgery Physician
Primary
A62260
CA
Other
Enumeration date
12/27/2013
Last updated
11/20/2014
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