Healthcare Provider Details

I. General information

NPI: 1730935511
Provider Name (Legal Business Name): ELITE CARE MOBILTY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 323-321-7090
  • 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
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. MARTIN NARANJO
Title or Position: OWNER
Credential:
Phone: 323-321-7090