Organization · NPI-2

At Your Service Mobile Unit

Clinic/Center, Health Services · Los Angeles, CA

NPI number1669185237

StatusActive

Last updated in NPPESSep 24, 2024

Details

NPI: 1669185237
Entity type: Organization (NPI-2)
Legal business name: At Your Service Mobile Unit
Organization subpart: No
Enumeration date: Dec 28, 2022
Certification date: Sep 24, 2024
Last updated: Sep 24, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QH0100X	Clinic/Center, Health Services	–	–	Yes
251E00000X	Home Health	–	–
261Q00000X	Clinic/Center	–	–
305S00000X	Point of Service	–	–

Practice location

11870 Santa Monica Blvd Ste 106-743
Los Angeles, CA 90025-2276

Phone 425-522-2333 · Fax 323-395-0671

Mailing address

11870 Santa Monica Blvd Ste 106-743
Los Angeles, CA 90025-2276

Phone 425-522-2333 · Fax 323-395-0671

Authorized official

Phabillia Borja
Owner/Ceo
4255222333

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