Provider Demographics
NPI:1396145439
Name:TRUE CARE MOBILE INC. A MEDICAL CORP
Entity type:Organization
Organization Name:TRUE CARE MOBILE INC. A MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KRYSTAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-507-4857
Mailing Address - Street 1:2888 LOKER AVE E
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-6682
Mailing Address - Country:US
Mailing Address - Phone:619-507-4857
Mailing Address - Fax:
Practice Address - Street 1:2888 LOKER AVE E
Practice Address - Street 2:SUITE 111
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-6682
Practice Address - Country:US
Practice Address - Phone:619-507-4857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74558208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty