Active Mobile Medical Group, Inc.
LBN: Active Mobile Medical Group, Inc.
Active Mobile Medical Group, Inc. is an health care organization with primary practice located at 3450 Wilshire Blvd Ste 1200 , Los Angeles CA 90010-2214. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Active Mobile Medical Group, Inc. can be contacted via phone (213) 465-2643, or through Balasico, Joanna via phone (213) 465-2643.
Contact Information
Primary practice address
3450 Wilshire Blvd Ste 1200
Los Angeles CA 90010-2214
Phone: (213) 465-2643
Fax: (213) 232-4944
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
NPI number | 1184370199 |
---|---|
LBN Legal business name | Active Mobile Medical Group, Inc. |
DBA Doing business as | |
Authorized official | Balasico, Joanna Registered Nurse (RN) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 28th, 2022 |
Last updated | Mar 18th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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