Purpose Driven Mobile Physician

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PURPOSE DRIVEN MOBILE PHYSICIAN

Practice address

4221 Wilshire Blvd Ste 170-8
Los Angeles, CA 90010-3519

Phone

(818) 646-7203

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Philip Kim, MD

Title

Ceo

Phone

(213) 598-4947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jae S Chu, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1063400745
  Medicare reassignment Care Compare group NPD
• Michele Hee Hwang, NP

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1811407331
  Medicare reassignment Care Compare group NPD
• Sojung Suk, DNP

  • Adult Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1811376056
  Medicare reassignment Care Compare group NPD
• Heather Jo, NP

  • Gerontology Nurse Practitioner
  • Los Angeles, CA
  • NPI 1376913319
  Medicare reassignment NPD

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1871365320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 170-8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 170-8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103519",
            "telephone_number": "818-646-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE DRIVEN MOBILE PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-598-4947",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Purifoy
• Purity Dental, Inc
• Pamella Purkeypile, CRNA
• Carla Purnell
• Jessica S Purner Lewin
• Purposeful Play Studios
• Purposeful Recovery Corp
• Megan Pursel
• Heena Purswani
• Ben Ysmael Ramirez Purugganan

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.