Provider Demographics
NPI:1942826797
Name:IN-HOME MEDICAL MOBILE SERVICES, INC.
Entity Type:Organization
Organization Name:IN-HOME MEDICAL MOBILE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-920-1331
Mailing Address - Street 1:3400 E 8TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-3169
Mailing Address - Country:US
Mailing Address - Phone:619-920-1331
Mailing Address - Fax:
Practice Address - Street 1:3400 E 8TH ST STE 202
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-3169
Practice Address - Country:US
Practice Address - Phone:619-920-1331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty