Provider Demographics
NPI:1780003251
Name:ALWAYS THERE MOBILE PHYSICIANS, INC.
Entity Type:Organization
Organization Name:ALWAYS THERE MOBILE PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:619-279-7701
Mailing Address - Street 1:7317 EL CAJON BLVD
Mailing Address - Street 2:#234
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-7434
Mailing Address - Country:US
Mailing Address - Phone:619-633-9561
Mailing Address - Fax:
Practice Address - Street 1:7317 EL CAJON BLVD
Practice Address - Street 2:201F
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-7434
Practice Address - Country:US
Practice Address - Phone:619-633-9561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty