Provider Demographics
NPI:1164287280
Name:JBN OPERATIONS LLC
Entity Type:Organization
Organization Name:JBN OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:NOUHAVANDI
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:310-401-4495
Mailing Address - Street 1:3751 S HILL ST # 208
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-4339
Mailing Address - Country:US
Mailing Address - Phone:888-589-5005
Mailing Address - Fax:
Practice Address - Street 1:3751 S HILL ST # 208
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-4339
Practice Address - Country:US
Practice Address - Phone:888-589-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy