Provider Demographics
NPI:1134986482
Name:MOBILE HEALTH CARE SERVICES CA
Entity type:Organization
Organization Name:MOBILE HEALTH CARE SERVICES CA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRANIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KECHEJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-683-7272
Mailing Address - Street 1:15720 VENTURA BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2996
Mailing Address - Country:US
Mailing Address - Phone:818-683-7272
Mailing Address - Fax:818-683-7373
Practice Address - Street 1:15720 VENTURA BLVD STE 402
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2996
Practice Address - Country:US
Practice Address - Phone:818-683-7272
Practice Address - Fax:818-683-7373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty