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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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