Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Mobile Medical Group, Inc

Organization Family Medicine Physician · NPI 1184370199

Active Mobile Medical Group, Inc is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3450 Wilshire Blvd Ste 1200
Los Angeles, CA 90010-2214
Phone: (213) 465-2643
Fax: (213) 232-4944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1184370199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Balasico — Vice President · (213) 465-2643
NPI enumeratedFebruary 28, 2022
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing address3325 Wilshire Blvd Ste 208, Los Angeles, CA 90010-1733

Other providers in Los Angeles