Provider Demographics
NPI:1477212520
Name:J & R HEALTHY LIVING INC.
Entity Type:Organization
Organization Name:J & R HEALTHY LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSOUD
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:562-708-6863
Mailing Address - Street 1:13877 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-8822
Mailing Address - Country:US
Mailing Address - Phone:562-708-6863
Mailing Address - Fax:951-977-9645
Practice Address - Street 1:16327 MAGNOLIA AVE.
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879
Practice Address - Country:US
Practice Address - Phone:562-708-6863
Practice Address - Fax:951-977-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health