Mobley, Elijah

Mobley, Elijah is an individual health care provider with primary practice located at 15366 11Th St Ste Q , Victorville CA 92395-3726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mobley, Elijah can be contacted via phone (760) 241-6201.

Contact Information

Primary practice address
15366 11Th St Ste Q Victorville CA 92395-3726
Phone: (760) 241-6201
Fax: (760) 241-6203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 5725 South Dakota
Allopathic & Osteopathic Physicians / Surgery 208600000X CA286A California

Profile Details

NPI number 1528034212
LBN Legal business name Mobley, Elijah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Oct 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528034212 NPPES
South Dakota MEDICAID 6631230

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