Organization
MOBIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEODULO CRUZ BONZON LCSW (MANAGING MEMBER)
(818) 846-4469
Entity
Organization
Contact information
Practice address
3013 ANNITA DR, GLENDALE, CA 91206-1302
(818) 846-4469
Mailing address
3013 ANNITA DR, GLENDALE, CA 91206-1302
(818) 846-4469
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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