Organization
MOBILE MEDICAL GROUP
Active
Organization
MOBILE MEDICAL GROUP
Active
Other names
Call Doctor Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARY GRESHAM BAYNE MD (OWNER)
(619) 260-6300
Entity
Organization
Contact information
Practice address
5030 CAMINO DE LA SIESTA, STE 208, SAN DIEGO, CA 92108-3117
(619) 260-6300
(619) 260-6313
Mailing address
5030 CAMINO DE LA SIESTA, STE 208, SAN DIEGO, CA 92108-3117
(619) 260-6300
(619) 260-6313
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089290
—
CA
01
—
ZZZ61626Z
BLUE SHIELD
CA
Enumeration date
08/10/2006
Last updated
02/10/2009
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