# PERPETUAL MOBILE MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457084386
- **Authorized official:** MARLON CAMAR SALAMAT (CFO)
- **Authorized official phone:** (626) 497-6500

## Contact information

- **Practice address:** 5015 EAGLE ROCK BLVD STE 200, LOS ANGELES, CA 90041-2087
- **Practice address phone:** (323) 455-4868
- **Practice address fax:** (323) 577-7826
- **Mailing address:** 1200 E ROUTE 66 STE 102, GLENDORA, CA 91740-6360
- **Mailing address phone:** (323) 455-4868
- **Mailing address fax:** (323) 577-7826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2022
- **Last updated:** 08/13/2024