MEDICARE: ONE HEALTH MOBILE A MEDICAL 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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1992444947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE HEALTH MOBILE A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	21010 ERWIN ST APT 611
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-3998
Country	:	US
Telephone Number	:	818-814-9116
Fax Number	:	818-337-1459

Provider Business Practice Location Address
First Line	:	12470 W WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5512
Country	:	US
Telephone Number	:	818-814-9116
Fax Number	:	818-337-1459

Authorized Official
Title or Position	:	NURSE PRACTITIONER/ COO
Name	:	MR. ALDO DAVID ESPINOZA
Credential	:	NP
Telephone Number	:	818-814-9116

Provider Enumeration Date	:	05/28/2022
Last Update Date	:	04/22/2026

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