JBL Anesthesia Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20A7545 Issued in CA

Legal business name

JBL ANESTHESIA MEDICAL CORPORATION

Practice address

323 S Heliotrope Ave
Monrovia, CA 91016-2914

Phone

(818) 355-0376

NPI assigned

Feb 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan B Lau, D.O.

Title

President

Phone

(818) 355-0376

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1114068145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "818-550-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S HELIOTROPE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162914",
            "telephone_number": "818-355-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073402",
            "country_code": "US",
            "telephone_number": "818-355-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JBL ANESTHESIA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-355-0376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A7545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX75451",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ07284Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Jaurequi
• Albina Javed
• Natali Javier
• Cian Jaw
• Raul Jazo-Castaneda
• Hannah Jdahim
• Adjy Jean
• Christelle Jean
• Christina Jean
• Georgia Jean

• Anesthesiology Physician in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.