Provider Demographics
NPI:1083267827
Name:JD HEALTH LLC
Entity Type:Organization
Organization Name:JD HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MYTU
Authorized Official - Middle Name:
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-425-2706
Mailing Address - Street 1:18003 SKY PARK CIRCLE, SUITE B-C
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614
Mailing Address - Country:US
Mailing Address - Phone:949-418-8912
Mailing Address - Fax:949-418-8913
Practice Address - Street 1:18003 SKY PARK CIRCLE, SUITE B-C
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614
Practice Address - Country:US
Practice Address - Phone:949-418-8912
Practice Address - Fax:949-418-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies