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NPI Code Detail

MEDICARE: HEALTH MOBILE

MEDICARE: HEALTH MOBILE
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
1261QC1500XCommunity Health Clinic/Center070000669CA

General Provider Information

NPI Number : 1427482363
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH MOBILE
Provider Business Mailing Address
First Line : 1659 SCOTT BLVD STE 4
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-4137
Country : US
Telephone Number : 408-879-0110
Fax Number : 408-244-3995
Provider Business Practice Location Address
First Line : 1659 SCOTT BLVD STE 4
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-4137
Country : US
Telephone Number : 408-879-0110
Fax Number : 408-244-3995
Authorized Official
Title or Position : COO
Name : MR. MIKE REZA
Credential : MBA
Telephone Number : 408-879-0110
Provider Enumeration Date : 08/28/2013
Last Update Date : 08/28/2013

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Directions to “HEALTH MOBILE ” Practice Location

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