| Infinity Mobile Medical Group | |
|
17337 Ventura Blvd Ste 220 Encino CA 91316-4039 | |
| (818) 518-0146 | |
| Not Available |
| Full Name | Infinity Mobile Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 17337 Ventura Blvd Ste 220, Encino, California |
| Authorized Official Name and Position | Concepcion Cabellon-samuels (CEO) |
| Authorized Official Contact | 8185180146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Mobile Medical Group 17337 Ventura Blvd Ste 220 Encino CA 91316-4039 Ph: (818) 518-0146 | Infinity Mobile Medical Group 17337 Ventura Blvd Ste 220 Encino CA 91316-4039 Ph: (818) 518-0146 |
| NPI Number | 1912727835 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912727835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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