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Organization
MOBILE MEDICAL GROUP INC
Active
Organization
MOBILE MEDICAL GROUP INC
Active
Other names
TMD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE S GOLUB (CEO)
(818) 945-6003
Entity
Organization
Contact information
Practice address
130 N BRAND BLVD STE 301, GLENDALE, CA 91203-4623
(818) 945-6003
(818) 945-6075
Mailing address
130 N BRAND BLVD STE 301, GLENDALE, CA 91203-4623
(818) 945-6003
(818) 945-6075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/09/2017
Last updated
04/08/2020
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