Provider Demographics
NPI:1407581036
Name:DR MOBICARE A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:DR MOBICARE A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-933-5688
Mailing Address - Street 1:9171 WILSHIRE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5536
Mailing Address - Country:US
Mailing Address - Phone:310-933-5688
Mailing Address - Fax:
Practice Address - Street 1:9171 WILSHIRE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5536
Practice Address - Country:US
Practice Address - Phone:310-933-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty