Mobile Mohs Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE MOHS INC.

Practice address

1856 W 17TH St
Santa Ana, CA 92706-2319

Phone

(714) 639-0241

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Duffy

Title

President

Phone

(714) 648-0648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1194744268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062319",
            "telephone_number": "714-648-0648",
            "fax_number": "714-648-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062319",
            "telephone_number": "714-639-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MOHS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-648-0648"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Valerie Moa
• Cherine Moazam, D.O.
• Haideh Mobarak, M.D.
• Mobile Medical Examination Services
• Mobile Medical Examination Services Mso
• Jazminne Mobley
• Michael Austin Mobley, ASW, PPSC
• Bhumi Modha
• Parul Modi, LMFT
• Jennifer Dare Moen

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.