Mobile Medical Clinic Inc

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

A104536 Issued in CA

Legal business name

MOBILE MEDICAL CLINIC INC

Practice address

1251 W Redondo Beach Blvd Ste 101
Gardena, CA 90247-3456

Phone

(310) 953-8756

Fax

(310) 953-8746

NPI assigned

Apr 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Li Zizhuang, MD

Title

Provider

Phone

(310) 953-8756

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1104213776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 W REDONDO BEACH BLVD STE 101",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473456",
            "telephone_number": "310-953-8756",
            "fax_number": "310-953-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W REDONDO BEACH BLVD STE 101",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473456",
            "telephone_number": "310-953-8756",
            "fax_number": "310-953-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "ZIZHUANG",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "310-953-8756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A104536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nozomi Miyaji
• Sandra Miyakawa, PMHNP-BC
• Richard J. Miyamoto, O.D.
• Misaki Mizutani
• Chao Mei Mo
• Mobis Medical Supply & Distributors Inc.
• Juan A. Mocega, MD
• Modern Day Poppins
• Razieh Moghadam
• Kiyana Mohammadi

• Occupational Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.