Provider Demographics
NPI:1568611051
Name:MOBILITY EXCELLENCE, INC.
Entity Type:Organization
Organization Name:MOBILITY EXCELLENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELSIGNORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-842-7743
Mailing Address - Street 1:3700 NEWPORT BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3900
Mailing Address - Country:US
Mailing Address - Phone:949-791-8149
Mailing Address - Fax:949-612-0204
Practice Address - Street 1:3700 NEWPORT BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3900
Practice Address - Country:US
Practice Address - Phone:949-791-8149
Practice Address - Fax:949-612-0204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50161332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1568611051Medicaid
6183770001Medicare NSC