Provider Demographics
NPI:1801405295
Name:MEDICINE MOBILITY LLC
Entity Type:Organization
Organization Name:MEDICINE MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CONOR
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-712-8011
Mailing Address - Street 1:320 STORKE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-2992
Mailing Address - Country:US
Mailing Address - Phone:805-204-4882
Mailing Address - Fax:
Practice Address - Street 1:320 STORKE RD STE 101
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-2992
Practice Address - Country:US
Practice Address - Phone:805-204-4882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347E00000XTransportation ServicesTransportation Broker
No246ZG1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGeneticist, Medical (PhD)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1336377829OtherDR. DENICOLA