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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528034212 | NPPES |
| South Dakota | MEDICAID | 6631230 |
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