<Unavail>

LBN: Mobile Medical Group
<Unavail> is an health care organization with primary practice located at 5030 Camino De La Siesta Suite 208, San Diego CA 92108-3116. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Mobile Medical Group can be contacted via phone (619) 260-6300, or through Bayne, Cary Gresham via phone (619) 260-6300.

Contact Information

Primary practice address
5030 Camino De La Siesta Suite 208 San Diego CA 92108-3116
Phone: (619) 260-6300
Fax: (619) 260-6313
Website:
Map and Directions
Authorized official contact:
Name: Bayne, Cary Gresham Doctor of Medicine (MD)
Phone: (619) 260-6300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X FAC41617 California

Profile Details

NPI number 1942447651
LBN Legal business name Mobile Medical Group
DBA Doing business as <Unavail>
Authorized official Bayne, Cary Gresham Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2009
Last updated Jan 16th, 2009 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1942447651 NPPES
California MEDICAID GR0089290

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