Organization · NPI-2
101 Mobile Medical Group
Preventive Medicine, Public Health & General Preventive Medicine · Westminster, CA
NPI number1740177864
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1740177864
- Entity type
- Organization (NPI-2)
- Legal business name
- 101 Mobile Medical Group
- Organization subpart
- No
- Enumeration date
- Jun 20, 2025
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – | Yes |
Practice location
7261 Westminster BlvdWestminster, CA 92683-4235
Phone 818-963-7178 · Fax 818-746-3934
Mailing address
7261 Westminster BlvdWestminster, CA 92683-4235
Phone 818-963-7178 · Fax 818-746-3934
Authorized official
Daisy Bautista
Director
8189637178
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