Og Mobile Medical Group

LBN: Og Mobile Medical Group
Og Mobile Medical Group is an health care organization with primary practice located at 8972 Appaloosa Ct , Rancho Cucamonga CA 91737-1401. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Og Mobile Medical Group can be contacted via phone (909) 274-9143, or through Clark-Poveda, Stephanie via phone (909) 274-9143.

Contact Information

Primary practice address
8972 Appaloosa Ct Rancho Cucamonga CA 91737-1401
Phone: (909) 274-9143
Fax: (909) 294-5911
Website:
Map and Directions
Authorized official contact:
Name: Clark-Poveda, Stephanie Physician Assistant (PA)
Phone: (909) 274-9143

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1851007173
LBN Legal business name Og Mobile Medical Group
DBA Doing business as
Authorized official Clark-Poveda, Stephanie Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2023
Last updated Jan 30th, 2023 - about last year

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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