MJ Medical Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MJ MEDICAL INC.

Practice address

3532 Katella Ave Ste 112
Los Alamitos, CA 90720-3145

Phone

(619) 644-2695

NPI assigned

Aug 20, 2015

Last updated

Jul 9, 2024By 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

Ms. Lisa Ellen Marino

Title

Compliance Officer

Phone

(516) 526-5350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1245606581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8893 LA MESA BLVD",
            "address_2": "SUITE E",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425448",
            "telephone_number": "619-644-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 KATELLA AVE STE 112",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203145",
            "telephone_number": "619-644-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "516-526-5350",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica Choi, MD
• Kassandra Renee Monson

• Prosthetic/Orthotic Supplier in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.