Provider Demographics
NPI:1821383274
Name:MAJANO, JOSE JAVIER
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:JAVIER
Last Name:MAJANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BELMONT AVE
Mailing Address - Street 2:SPACE 22
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4277
Mailing Address - Country:US
Mailing Address - Phone:661-393-2479
Mailing Address - Fax:
Practice Address - Street 1:501 BELMONT AVE
Practice Address - Street 2:SPACE 22
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-4277
Practice Address - Country:US
Practice Address - Phone:661-393-2479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)