MEDICARE: MEDI MOBILE GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1609739515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDI MOBILE GROUP

Provider Business Mailing Address
First Line	:	29219 CANWOOD ST STE 240
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1590
Country	:	US
Telephone Number	:	747-315-3813
Fax Number	:	747-315-3823

Provider Business Practice Location Address
First Line	:	29219 CANWOOD ST STE 240
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1590
Country	:	US
Telephone Number	:	747-315-3813
Fax Number	:	747-315-3823

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	OVSANNA ARAKELYAN
Credential	:	FNP
Telephone Number	:	818-469-0066

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “MEDI MOBILE GROUP ” Practice Location

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