Healthcare Provider Details

I. General information

NPI: 1780003251
Provider Name (Legal Business Name): ALWAYS THERE MOBILE PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7317 EL CAJON BLVD 201F
LA MESA CA
91942-7434
US

IV. Provider business mailing address

7317 EL CAJON BLVD #234
LA MESA CA
91942-7434
US

V. Phone/Fax

Practice location:
  • Phone: 619-633-9561
  • Fax:
Mailing address:
  • Phone: 619-633-9561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DONNELLA GOODWIN
Title or Position: CEO
Credential: MBA
Phone: 619-279-7701