| All Home Mobile Services Inc. | |
|
4795 Holt Blvd Ste 205 Montclair CA 91763-4714 | |
| (310) 507-3280 | |
| Not Available |
| Full Name | All Home Mobile Services Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4795 Holt Blvd Ste 205, Montclair, California |
| Authorized Official Name and Position | Leticia Santana Magdaleno (BILLING SUPERVISOR) |
| Authorized Official Contact | 5623888529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Home Mobile Services Inc. 4795 Holt Blvd Ste 205 Montclair CA 91763-4714 Ph: (310) 507-3280 | All Home Mobile Services Inc. 4795 Holt Blvd Ste 205 Montclair CA 91763-4714 Ph: (310) 507-3280 |
| NPI Number | 1114530235 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 2163834284 |
|---|---|
| Medicare Enrollment ID | O20201215001156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114530235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ruben S Casabar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104910629 PECOS PAC ID: 0042207656 Enrollment ID: I20040427000577 |
| Provider Name | Neil D Katchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053366047 PECOS PAC ID: 1153399019 Enrollment ID: I20040920000520 |
| Provider Name | Mark N Samonte |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114140233 PECOS PAC ID: 5698872661 Enrollment ID: I20070525000580 |
| Provider Name | Randall W Maxey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700944279 PECOS PAC ID: 3375647498 Enrollment ID: I20081215000265 |
| Provider Name | Grace Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026050 PECOS PAC ID: 0244530517 Enrollment ID: I20151118002950 |
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