Msji Home Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sandimas, CA
NPI 1104057496 · NPPES record last updated Aug 4, 2009
Key facts
- NPI
- 1104057496
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 197801816 (CA)
- Legal business name
- MSJI HOME INC
- Practice address
- 1324 Juanita Av
Sandimas, CA 91773 - Phone
- (909) 592-6003
- Fax
- (909) 592-3432
- NPI assigned
- Aug 4, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Jaydev Bhavsar
- Title
- Administrator
- Phone
- (909) 592-6003
Practitioners 7
-
Michio Abe, MD
-
Gary Kwok-Ying Lam, DPM
-
Scott Howard Leibold, D.P.M
-
Yen-PO Liu, D.P.M.
-
Steven L Rosenblatt, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 197801816 | CA | Yes |
Addresses
Primary practice location
1324 Juanita Av
Sandimas, CA 91773
Mailing address
P.O. Box 4861
Sandimas, CA 91773
Phone (909) 592-6003
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.