Provider Demographics
NPI:1114530235
Name:ALL HOME MOBILE SERVICES INC.
Entity Type:Organization
Organization Name:ALL HOME MOBILE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA MAGDALENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-388-8529
Mailing Address - Street 1:4795 HOLT BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4714
Mailing Address - Country:US
Mailing Address - Phone:310-507-3280
Mailing Address - Fax:
Practice Address - Street 1:4795 HOLT BLVD STE 205
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4714
Practice Address - Country:US
Practice Address - Phone:310-507-3280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty