Provider Demographics
NPI:1083154231
Name:MOBILIFY, LLC
Entity Type:Organization
Organization Name:MOBILIFY, LLC
Other - Org Name:MOBILIFY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-600-4040
Mailing Address - Street 1:1224 SANTA ANITA AVE STE B3
Mailing Address - Street 2:
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3842
Mailing Address - Country:US
Mailing Address - Phone:626-522-9700
Mailing Address - Fax:626-425-9533
Practice Address - Street 1:1224 SANTA ANITA AVE STE B3
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733
Practice Address - Country:US
Practice Address - Phone:626-522-9700
Practice Address - Fax:626-425-9533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)