MSBJ, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MSBJ, INC.

Doing business as

Deja Vu Medical

Practice address

38 E Huntington Dr Ste B
Arcadia, CA 91006-7048

Phone

(626) 574-0079

Fax

(626) 254-9412

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Barbara Lyle

Title

General Manager

Phone

(626) 574-0079

Specialties & licenses 1

Addresses

Other names 1

• Deja Vu Medical Doing business as

Locations

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1861620205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E HUNTINGTON DR STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067048",
            "telephone_number": "626-574-0079",
            "fax_number": "626-254-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E HUNTINGTON DR STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067048",
            "telephone_number": "626-574-0079",
            "fax_number": "626-254-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSBJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "626-574-0079"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deja Vu Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ella Moss-Vazquez
• Christopher Moss
• Mourani & Tarakji Medical
• Samuel Mourani, M.D.
• Jeanine Moussa, OTD, OTR/L
• John Joseph Mucia, M.D.
• Brindusa Dana Mudric Tiganu, MD
• Michael John Mulvehill III, DDS
• Kaitlyn P Munoz
• William Munoz

• Clinic/Center in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.