Provider Demographics
NPI:1285105692
Name:JD HEALTH LLC
Entity type:Organization
Organization Name:JD HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MYTU
Authorized Official - Middle Name:
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-506-7079
Mailing Address - Street 1:18003 SKY PARK CIR STE B-C
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6513
Mailing Address - Country:US
Mailing Address - Phone:949-506-7079
Mailing Address - Fax:949-535-0423
Practice Address - Street 1:18003 SKY PARK CIR STE B-C
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6513
Practice Address - Country:US
Practice Address - Phone:949-506-7079
Practice Address - Fax:949-535-0423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy