Provider Demographics
NPI:1205580818
Name:JDS CONSULTING, INC.
Entity type:Organization
Organization Name:JDS CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-201-7468
Mailing Address - Street 1:1651 E 4TH ST STE 218
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5142
Mailing Address - Country:US
Mailing Address - Phone:657-231-6200
Mailing Address - Fax:949-835-4182
Practice Address - Street 1:5230 CLARK AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-2619
Practice Address - Country:US
Practice Address - Phone:657-231-6200
Practice Address - Fax:949-835-4182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder