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MOBILE MEDICAL GROUP NPI 1962413583


NPI Information

NPI: 1962413583
Provider Name: MOBILE MEDICAL GROUP

Doing Business As: CALL DOCTOR MEDICAL GROUP

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5030 CAMINO DE LA SIESTA
STE 208
SAN DIEGO, CA
ZIP 92108
Phone: (619) 260-6300
Get Directions

MOBILE MEDICAL GROUP is a geriatric medicine family medicine in San Diego, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. MOBILE MEDICAL GROUP NPI is 1962413583. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Call Doctor Medical Group.

The provider's business location address is:

5030 CAMINO DE LA SIESTA
STE 208
SAN DIEGO, CA
ZIP 92108-117
Phone: (619) 260-6300
Fax: (619) 260-6313

The provider's authorized official is Cary Gresham Bayne .
The authorized official title is Owner and has the following contact phone number (619) 260-6300.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 2/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W14796MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2ZZZ61626ZOTHERCALIFORNIABLUE SHIELD
3GR0089290MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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