Provider Demographics
NPI:1487454633
Name:J&A HEALTH INNOVATIONS LLC
Entity type:Organization
Organization Name:J&A HEALTH INNOVATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:JING
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:415-966-7659
Mailing Address - Street 1:59 VISTA ENCINOS
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556-7400
Mailing Address - Country:US
Mailing Address - Phone:415-966-7659
Mailing Address - Fax:
Practice Address - Street 1:59 VISTA ENCINOS
Practice Address - Street 2:
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94556-7400
Practice Address - Country:US
Practice Address - Phone:415-966-7659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center