PERPETUAL MOBILE MEDICAL GROUP INC NPI 1457084386

NPI Information

NPI: 1457084386
Provider Name: PERPETUAL MOBILE MEDICAL GROUP INC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5015 EAGLE ROCK BLVD STE 200
LOS ANGELES, CA
ZIP 90041
Phone: (323) 455-4868
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PERPETUAL MOBILE MEDICAL GROUP INC is a primary care nurse practitioner in Los Angeles, CA. PERPETUAL MOBILE MEDICAL GROUP INC NPI is 1457084386. The provider is registered as an organization entity type.

The provider's business location address is:

5015 EAGLE ROCK BLVD STE 200
LOS ANGELES, CA
ZIP 90041-087
Phone: (323) 455-4868
Fax: (323) 577-7826

The provider's authorized official is Marlon Camar Salamat .
The authorized official title is Cfo and has the following contact phone number (626) 497-6500.

The enumeration date for this NPI number is 7/7/2022 and was last updated on 7/28/2022.

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
1	261QP2300X	Clinic/Center	Primary Care			No
2	363LP2300X	Nurse Practitioner	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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