MEDICARE: MOBILE-MED WORK HEALTH SOLUTIONS, INC.

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	2083X0100X	Occupational Medicine Physician

General Provider Information

NPI Number	:	1669152013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE-MED WORK HEALTH SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 2264
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-2264
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 E FLAMINGO RD STE 301
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5180
Country	:	US
Telephone Number	:	702-330-0345
Fax Number	:

Authorized Official
Title or Position	:	CHIEF SOLUTIONS OFFICER
Name	:	DEAN FRIEDERS
Credential	:
Telephone Number	:	877-899-9959

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	07/20/2023

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