Provider Demographics
NPI:1740506286
Name:JSMB, INC
Entity type:Organization
Organization Name:JSMB, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:YU WEN
Authorized Official - Last Name:SHIH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:626-796-4535
Mailing Address - Street 1:2623 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3466
Mailing Address - Country:US
Mailing Address - Phone:626-796-4535
Mailing Address - Fax:626-796-4935
Practice Address - Street 1:2623 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3466
Practice Address - Country:US
Practice Address - Phone:626-796-4535
Practice Address - Fax:626-796-4935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 868237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty