Organization
MOBILITY PLUS OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M PETERO (GENERAL MANAGER)
(209) 552-2244
Entity
Organization
Contact information
Practice address
627 GALAXY WAY, MODESTO, CA 95356-9606
(209) 552-2244
(209) 552-2288
Mailing address
627 GALAXY WAY, MODESTO, CA 95356-9606
(209) 552-2244
(209) 552-2288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02077F
—
CA
Enumeration date
07/28/2006
Last updated
11/27/2018
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