Organization
AT YOUR SERVICE MOBILE UNIT
Active
Organization
AT YOUR SERVICE MOBILE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHABILLIA BORJA MD (OWNER/CEO)
(425) 522-2333
Entity
Organization
Contact information
Practice address
11870 SANTA MONICA BLVD STE 106-743, LOS ANGELES, CA 90025-2276
(425) 522-2333
(323) 395-0671
Mailing address
11870 SANTA MONICA BLVD STE 106-743, LOS ANGELES, CA 90025-2276
(425) 522-2333
(323) 395-0671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
12/28/2022
Last updated
09/24/2024
Update your record
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