Healthcare Provider Details

I. General information

NPI: 1396542619
Provider Name (Legal Business Name): CARING MD MOBILE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 FOOTHILL BLVD STE 203
LA CRESCENTA CA
91214-3574
US

IV. Provider business mailing address

2626 FOOTHILL BLVD STE 203
LA CRESCENTA CA
91214-3574
US

V. Phone/Fax

Practice location:
  • Phone: 818-434-8118
  • Fax:
Mailing address:
  • Phone: 818-434-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURENZ DELA CRUZ EVANGELISTA
Title or Position: CEO
Credential:
Phone: 818-434-8118