Healthcare Provider Details

I. General information

NPI: 1053091769
Provider Name (Legal Business Name): MOBILE-MED WORK HEALTH SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 RIO LINDO AVE STE 301
CHICO CA
95926-1852
US

IV. Provider business mailing address

PO BOX 2264
GRANITE BAY CA
95746-2264
US

V. Phone/Fax

Practice location:
  • Phone: 530-715-8004
  • Fax: 530-200-8362
Mailing address:
  • Phone: 815-970-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEAN FRIEDERS
Title or Position: CHIEF SOLUTIONS OFFICER
Credential:
Phone: 877-899-9959