Organization
MEDGO MOBILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DAROVYKH (SECRETARY)
(818) 301-9757
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE 213, ENCINO, CA 91436-2954
(818) 301-9757
Mailing address
15720 VENTURA BLVD STE 213, ENCINO, CA 91436-2954
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
09/28/2025
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