Provider Demographics
NPI:1609292879
Name:HOPE MOBILE MEDICAL SERVICES
Entity Type:Organization
Organization Name:HOPE MOBILE MEDICAL SERVICES
Other - Org Name:HOPE DIAGNOSTIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:SAMEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-413-0780
Mailing Address - Street 1:5118 HARTLAND CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-8771
Mailing Address - Country:US
Mailing Address - Phone:925-215-1284
Mailing Address - Fax:
Practice Address - Street 1:5118 HARTLAND CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-8771
Practice Address - Country:US
Practice Address - Phone:925-215-1284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0207XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile Mammography
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile