James Kimo Jandoc, OMT, LMT, STMS is a
Massage Therapist physician based in Lynden, Washington. James Kimo Jandoc is licensed to practice in Washington (license number MA00015681) and his current practice location is 1610 Grover St Ste C3, Lynden, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 510-4630.
NPI number for James Kimo Jandoc is 1255649869 and his current mailing address is 1668 Westview Cir, Lynden, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255649869.
Physician's Profile
| Full Name | James Kimo Jandoc |
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| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 1610 Grover St Ste C3, Lynden, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255649869
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 05/24/2018
Medical Identifiers
Medical identifiers for James Kimo Jandoc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255649869 | NPI | - | NPPES |
| 0152465 | Other | WA | WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | MA00015681 (Washington) | Secondary |
| 225700000X | Massage Therapist | MA00015681 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Kimo Jandoc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James Kimo Jandoc, OMT, LMT, STMS
1668 Westview Cir,
Lynden, WA 98264-8578
Ph: (360) 510-4630 | James Kimo Jandoc, OMT, LMT, STMS
1610 Grover St Ste C3,
Lynden, WA 98264
Ph: (360) 510-4630 |
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