Organization
INFINITY MOBILE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONCEPCION CABELLON-SAMUELS (CEO)
(818) 518-0146
Entity
Organization
Contact information
Practice address
17337 VENTURA BLVD STE 220, ENCINO, CA 91316-4039
(818) 518-0146
Mailing address
17337 VENTURA BLVD STE 220, ENCINO, CA 91316-4039
(818) 518-0146
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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