Provider Demographics
NPI:1649078320
Name:GJB HEALTH AND WELLNESS
Entity type:Organization
Organization Name:GJB HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-258-1828
Mailing Address - Street 1:393 W WARNER RD STE 114
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-3442
Mailing Address - Country:US
Mailing Address - Phone:480-258-1828
Mailing Address - Fax:
Practice Address - Street 1:2607 NORTH JAY STREET
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-3442
Practice Address - Country:US
Practice Address - Phone:480-258-1828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty