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

Grace Mobile Medical Group

Organization Primary Care Nurse Practitioner · NPI 1447046883

Grace Mobile Medical Group is a Primary Care Nurse Practitioner in Cerritos, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17315 Studebaker Rd Ste 204
Cerritos, CA 90703-2508
Phone: (310) 295-6492
Fax: (310) 295-6542
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1447046883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roland Flores — Ceo · (310) 245-1414
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address17315 Studebaker Rd Ste 204, Cerritos, CA 90703-2508

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