Provider Demographics
NPI:1285832253
Name:MOBILE ABILITY LLC
Entity Type:Organization
Organization Name:MOBILE ABILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT FOR SERVICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-628-8288
Mailing Address - Street 1:3045 S ARCHIBALD AVE STE H
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-9001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6163 PABLO ST
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-4570
Practice Address - Country:US
Practice Address - Phone:909-628-8288
Practice Address - Fax:909-628-8624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN01226F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01226FOtherMEDI-CAL NUMBER