Jem Dynamics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JEM DYNAMICS INC

Practice address

5176 Santa Monica Blvd Ste 107
Los Angeles, CA 90029-2586

Phone

(323) 407-6418

Fax

(323) 983-8796

NPI assigned

Oct 8, 2019

Last updated

Dec 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akop Gavadian

Title

Ceo

Phone

(323) 407-6418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruzanna Mkhitarian

  • Technician
  • Los Angeles, CA
  • NPI 1639710999
  NPD

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1235770553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 N HOBART BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 SANTA MONICA BLVD STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292586",
            "telephone_number": "323-407-6418",
            "fax_number": "323-983-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEM DYNAMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "GAVADIAN",
        "authorized_official_first_name": "AKOP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-407-6418"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Jekot, M.D.
• Robert Leo Jelicich, D.D.S.
• Marynell Jelinek, M.D.
• Devonae Zavonne Jelks
• Janelle Cherril Jelks
• Abera Jembere
• Aster T Jemere, MSW
• Sherrie Elaine Jemison
• Jen Lescher Licensed Clinical Social Worker Inc
• Andrew Jen, PH.D.

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.