# 101 MOBILE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1740177864
- **Authorized official:** DR. DAISY BAUTISTA MD (DIRECTOR)
- **Authorized official phone:** (818) 963-7178

## Contact information

- **Practice address:** 7261 WESTMINSTER BLVD, WESTMINSTER, CA 92683-4235
- **Practice address phone:** (818) 963-7178
- **Practice address fax:** (818) 746-3934
- **Mailing address:** 7261 WESTMINSTER BLVD, WESTMINSTER, CA 92683-4235
- **Mailing address phone:** (818) 963-7178
- **Mailing address fax:** (818) 746-3934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2025
- **Last updated:** 09/17/2026