Organization
MOBILE MONITORING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA IRENE ROUGHT R. EEG. T (OWNER)
(949) 751-9790
Entity
Organization
Contact information
Practice address
17602 17TH ST, SUITE#102 PMB#224, TUSTIN, CA 92780-1961
(949) 751-9790
(714) 838-9195
Mailing address
17602 17TH ST, SUITE#102 PMB#224, TUSTIN, CA 92780-1961
(949) 751-9790
(714) 838-9195
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
2975
CA
282N00000X
General Acute Care Hospital
2975
CA
Other
Enumeration date
06/30/2008
Last updated
09/06/2011
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