Mobility Professionals, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

96337 Issued in CA

Legal business name

MOBILITY PROFESSIONALS, INC

Practice address

12 Rancho Cir
Lake Forest, CA 92630-8325

Phone

(949) 716-3694

Fax

(844) 329-0990

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Donald Woods

Title

President

Phone

(949) 716-3694

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1407383151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RANCHO CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308325",
            "telephone_number": "949-716-3694",
            "fax_number": "844-329-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RANCHO CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308325",
            "telephone_number": "949-716-3694",
            "fax_number": "844-329-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PROFESSIONALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-716-3694"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "96337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4180940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Mitchell, PT, DPT
• Shannon C Mitchell, SLPA
• MLSG Corp
• Soudabeh Moayedghyasy, D.M.D
• Mobility Physical Therapy, Inc.
• Mobility Professionals, Inc.
• Rizwana Mohseni, D.O.
• Mozhgan Molkara, D.D.S.
• Kandis K Mollring
• Consuelo Suarez Mondragon

• Customized Equipment (DME) in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.