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NPI Code Detail

MEDICARE: CAREPATH MOBILE PROFESSIONAL CORPORATION

MEDICARE: CAREPATH MOBILE PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1174473391
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREPATH MOBILE PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 401 N BRAND BLVD STE 726A
Second Line :
City : GLENDALE
State : CA
Zip : 91203-4476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 N BRAND BLVD STE 726A
Second Line :
City : GLENDALE
State : CA
Zip : 91203-4476
Country : US
Telephone Number : 747-297-2020
Fax Number :
Authorized Official
Title or Position : CEO
Name : VINCENT COVELLI
Credential :
Telephone Number : 747-297-2020
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “CAREPATH MOBILE PROFESSIONAL CORPORATION ” Practice Location

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