Advance Mobile Medical Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

44024 Issued in CA

Legal business name

ADVANCE MOBILE MEDICAL INC.

Practice address

2500 E Ball Rd Ste 110
Anaheim, CA 92806-5054

Phone

(714) 284-0111

NPI assigned

Jul 1, 2013

Last updated

Jul 1, 2013By 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

Ghazala Ahmed

Title

Secretary

Phone

(714) 284-0111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1346680642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E BALL RD STE 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065054",
            "telephone_number": "714-284-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E BALL RD STE 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065054",
            "telephone_number": "714-284-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MOBILE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "GHAZALA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-284-0111"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "44024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.