| Ideal Mobile Md Medical Group, Inc | |
|
9550 Warner Ave Ste 250 Fountain Valley CA 92708-2842 | |
| (657) 217-4500 | |
| (627) 217-4501 |
| Full Name | Ideal Mobile Md Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9550 Warner Ave Ste 250, Fountain Valley, California |
| Authorized Official Name and Position | Julie D Dong (SECRETARY) |
| Authorized Official Contact | 6572174500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Mobile Md Medical Group, Inc 16027 Brookhurst St Ste I-109 Fountain Valley CA 92708-1551 Ph: (657) 217-4500 | Ideal Mobile Md Medical Group, Inc 9550 Warner Ave Ste 250 Fountain Valley CA 92708-2842 Ph: (657) 217-4500 |
| NPI Number | 1750110672 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750110672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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