MEDICARE: MOJIBEE LLC

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1548038722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOJIBEE LLC

Provider Business Mailing Address
First Line	:	5301 CALLE ROCKFISH UNIT 99
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-6383
Country	:	US
Telephone Number	:	619-565-9973
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 CALLE ROCKFISH UNIT 99
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-6383
Country	:	US
Telephone Number	:	619-565-9973
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. AYOMIDE H ALLEN
Credential	:	RN
Telephone Number	:	619-565-9973

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “MOJIBEE LLC ” Practice Location

Language	Start Address	Practice Location

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