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

Mobile Medical Providers, Inc

Organization Internal Medicine Physician · NPI 1528462033

Mobile Medical Providers, Inc is an Internal Medicine Physician in Tarzana, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19634 Ventura Blvd Ste 321
Tarzana, CA 91356-2994
Phone: (310) 388-8788
Fax: (855) 667-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A125934 (CA)

Record details

NPI number1528462033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boules Salib — President · (310) 388-8788
NPI enumeratedOctober 13, 2014
Last updated in NPPESDecember 4, 2019
Mailing address19634 Ventura Blvd Ste 321, Tarzana, CA 91356-2994

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