Mobile Primary Care Physicians, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MOBILE PRIMARY CARE PHYSICIANS, INC

Practice address

703 Pier Ave
Suite B625
Hermosa Beach, CA 90254-3949

Phone

(310) 941-1513

Fax

(888) 206-0814

NPI assigned

Aug 3, 2012

Last updated

Aug 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mignon Walker Marquina, MD

Title

Member

Phone

(310) 941-1513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1154677557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "address_2": "SUITE B625",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543949",
            "telephone_number": "310-941-1513",
            "fax_number": "888-206-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "address_2": "SUITE B625",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543949",
            "telephone_number": "310-941-1513",
            "fax_number": "888-206-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PRIMARY CARE PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "MARQUINA",
        "authorized_official_first_name": "MIGNON",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-941-1513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.