Healthcare Provider Details

I. General information

NPI: 1164346797
Provider Name (Legal Business Name): DOC2DOOR MOBILE DOCTOR, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15507 LA VALLE ST
SYLMAR CA
91342-3644
US

IV. Provider business mailing address

15507 LA VALLE ST
SYLMAR CA
91342-3644
US

V. Phone/Fax

Practice location:
  • Phone: 747-977-0998
  • Fax:
Mailing address:
  • Phone: 747-977-0998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD AL-BAGHDADI
Title or Position: CEO
Credential: MD
Phone: 747-997-0998