Mobile Medical Group in San Diego - Geriatric Medicine

Mobile Medical Group - NPI 1962413583

Mobile Medical Group is a Geriatric Medicine in San Diego, California. Mobile Medical Group practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mobile Medical Group is 1962413583. The last update date is 2009-02-10.

Mobile Medical Group's current location address is 5030 Camino De La Siesta, San Diego, California. You can contact this provider via phone number 6192606300 and fax number 6192606313. The mailing address for Mobile Medical Group is 5030 Camino De La Siesta, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mobile Medical Group
Address 5030 Camino De La Siesta, San Diego, California
Phone Number 6192606300
Fax Number 6192606313
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bayne Gresham Cary
Credentials MD
Telephone Number 6192606300

NPI Number Detail

NPI Number 1962413583
Provider Enumeration Date 2006-08-10
Last Updated Date 2009-02-10

Provider Mailing Address Detail

Address 5030 Camino De La Siesta
City San Diego
State California (CA)
Post Code 921083117
Phone Number 6192606300
Fax Number 6192606313

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0089290 CA --
ZZZ61626Z CA BLUE SHIELD

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FAQs about Mobile Medical Group

What is the Mobile Medical Group's 1962413583?

The Mobile Medical Group's NPI (National Provider Identifier) Number is 1962413583. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mobile Medical Group is located?

The Mobile Medical Group is situated at the following address: 5030 Camino De La Siesta, San Diego, CA, 921083117.

What is the area of specialization for Mobile Medical Group, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mobile Medical Group is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qg0300X.

On what date did Mobile Medical Group receive its 1962413583 assignment from the Centers for Medicare & Medicaid Services?

The Mobile Medical Group was assigned its 1962413583 on 2006-08-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mobile Medical Group most recently updated or revised?

The details related to Mobile Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-10.

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