Provider Demographics
NPI:1053195636
Name:JSN HEALTHCARE INC
Entity type:Organization
Organization Name:JSN HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:707-770-2092
Mailing Address - Street 1:3700 HILBORN RD STE 800
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-7997
Mailing Address - Country:US
Mailing Address - Phone:707-770-2092
Mailing Address - Fax:
Practice Address - Street 1:3700 HILBORN RD STE 800
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-7997
Practice Address - Country:US
Practice Address - Phone:707-770-2092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation