Provider Demographics
NPI:1942545462
Name:JPL LLC
Entity Type:Organization
Organization Name:JPL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEXTER
Authorized Official - Middle Name:TORREFRANCA
Authorized Official - Last Name:JUMAMOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-391-1804
Mailing Address - Street 1:3223 HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-4661
Mailing Address - Country:US
Mailing Address - Phone:951-850-5600
Mailing Address - Fax:951-755-8888
Practice Address - Street 1:3223 HAMMOND ST
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-4661
Practice Address - Country:US
Practice Address - Phone:951-850-5600
Practice Address - Fax:951-755-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)