Provider Demographics
NPI:1396982260
Name:LJFP INC
Entity type:Organization
Organization Name:LJFP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSACS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-405-9023
Mailing Address - Street 1:8110 LA JOLLA SHORES DR
Mailing Address - Street 2:STE 101A
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3100
Mailing Address - Country:US
Mailing Address - Phone:858-459-3310
Mailing Address - Fax:858-459-3314
Practice Address - Street 1:8110 LA JOLLA SHORES DR
Practice Address - Street 2:STE 101A
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-3100
Practice Address - Country:US
Practice Address - Phone:858-459-3310
Practice Address - Fax:858-459-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty