Organization Active NPI

1 Medlife Mobile Inc.

Doing business as Medlife Mobile Care

  • Family Medicine Physician
  • La Habra, CA
National Provider Identifier
1992271639
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
1 MEDLIFE MOBILE INC.
Doing business as
Medlife Mobile Care
Practice address
860 E la Habra Blvd Ste 240-a
La Habra, CA 90631-0815
Phone
(951) 378-6444
NPI assigned
Oct 20, 2018
Last updated
Oct 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

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

Authorized official

Name
Guillermo Poblete Quito
Title
Medical Biller
Phone
(909) 615-2359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

860 E la Habra Blvd Ste 240-a
La Habra, CA 90631-0815

Mailing address

860 E la Habra Blvd Ste 240-a
La Habra, CA 90631-0815
Phone (951) 378-6444

Other names 1

  • MEDLIFE MOBILE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

860 E La Habra Blvd
Ste 240A
La Habra, CA 90631
Phone (562) 448-0483

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539993600000",
    "number": "1992271639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E LA HABRA BLVD STE 240-A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310815",
            "telephone_number": "951-378-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E LA HABRA BLVD STE 240-A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310815",
            "telephone_number": "951-378-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 MEDLIFE MOBILE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A",
        "authorized_official_last_name": "QUITO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "POBLETE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "909-615-2359"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDLIFE MOBILE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; 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.