Healthcare Provider Details

I. General information

NPI: 1487583423
Provider Name (Legal Business Name): ELITE CARE MOBILITY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10999 RIVERSIDE DR. SUITE #302
NORTH HOLLYWOOD CA
91602-2239
US

IV. Provider business mailing address

10999 RIVERSIDE DR. SUITE #302
NORTH HOLLYWOOD CA
91602-2239
US

V. Phone/Fax

Practice location:
  • Phone: 818-200-0449
  • Fax:
Mailing address:
  • Phone: 323-321-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MARTIN NARANJO ORDAZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 323-321-7090