Healthcare Provider Details

I. General information

NPI: 1114167228
Provider Name (Legal Business Name): MOBILE MEDICAL EXAMINATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 10/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 E DYER RD STE 145
SANTA ANA CA
92705-5694
US

IV. Provider business mailing address

1241 E DYER RD STE 145
SANTA ANA CA
92705-5694
US

V. Phone/Fax

Practice location:
  • Phone: 714-368-0800
  • Fax: 714-368-0900
Mailing address:
  • Phone: 714-368-0800
  • Fax: 714-368-0900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI A ZAHEDI
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 714-368-0800