MEDGO MOBILE NPI 1548152192

NPI Information

  • NPI: 1548152192
  • Provider Name: MEDGO MOBILE
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 15720 VENTURA BLVD STE 213
    ENCINO, CA
    ZIP 91436
  • Phone: (818) 301-9757

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NPI Details

MEDGO MOBILE is a community health clinic center in Encino, CA. MEDGO MOBILE NPI is 1548152192. The provider is registered as an organization entity type.

The provider's business location address is:

15720 VENTURA BLVD STE 213
ENCINO, CA
ZIP 91436-954
Phone: (818) 301-9757

The provider's authorized official is David Darovykh .
The authorized official title is Secretary and has the following contact phone number (818) 301-9757.

The enumeration date for this NPI number is 7/17/2025 and was last updated on 9/28/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthYes

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: 11/21/2025

NPI Synchronization or Removal

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