Jongro Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JONGRO MEDICAL SUPPLY INC

Practice address

9442 Garden Grove Blvd
Garden Grove, CA 92844-1453

Phone

(714) 530-8275

Fax

(714) 530-8274

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sun Joo Lee

Title

Ceo

Phone

(714) 530-8275

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1205126471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9442 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441453",
            "telephone_number": "714-530-8275",
            "fax_number": "714-530-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9442 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441453",
            "telephone_number": "714-530-8275",
            "fax_number": "714-530-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONGRO MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUN JOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-530-8275",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Jones
• Miesha Jones
• Robert Lee Jones, DDS
• Tamara Jones, B.S.
• Thomas Joseph Jones IV
• Victoria Joo
• Joong Y Park M D Medical Corp
• Joong Young Park M.D. Inc.
• Victor Jordan
• Joshua Jorge

• Durable Medical Equipment & Medical Supplies in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.