Provider Demographics
NPI:1841678679
Name:J&J ASSOCIATION INC
Entity type:Organization
Organization Name:J&J ASSOCIATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-623-7504
Mailing Address - Street 1:1939 CAMINITO DE LA CRUZ
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913
Mailing Address - Country:US
Mailing Address - Phone:619-401-0333
Mailing Address - Fax:619-590-1883
Practice Address - Street 1:1939 CAMINITO DE LA CRUZ
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-3925
Practice Address - Country:US
Practice Address - Phone:619-401-0333
Practice Address - Fax:619-590-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB2014010950343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)