Provider Demographics
NPI:1699944322
Name:MJS DESIGNS
Entity type:Organization
Organization Name:MJS DESIGNS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MISCHA
Authorized Official - Middle Name:JUNIOR
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-630-0400
Mailing Address - Street 1:14514 RAMONA BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-3361
Mailing Address - Country:US
Mailing Address - Phone:626-630-0400
Mailing Address - Fax:626-628-0600
Practice Address - Street 1:14514 RAMONA BLVD STE 4
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-3361
Practice Address - Country:US
Practice Address - Phone:626-630-0400
Practice Address - Fax:626-628-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59265OtherBOARD OF PHARMACY