1 MEDLIFE MOBILE INC. (NPI# 1992271639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992271639 |
| Entity Type | Organization |
| Organization Name | 1 MEDLIFE MOBILE INC. |
| Practice Address |
860 E La Habra Blvd Ste 240-a La Habra CA 90631-0815 |
| Practice Telephone | 9513786444 |
| Mailing Telephone | 9513786444 |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2018-10-20 |
| Authorized Official Name | GUILLERMO POBLETE QUITO (MEDICAL BILLER) |
| Authorized Official Telephone | 9096152359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEDLIFE MOBILE CARE | Doing Business As Name - Organization |
| Street Address |
860 E LA HABRA BLVD STE 240-A |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-0815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346333648 | Ker-chow Chang | Family Medicine | 1480 S Harbor Blvd Ste 1, La Habra, CA 90631-7506 | 2006-10-02 |
| 1669574968 | Don L Garcia | Family Medicine | 1055 E. La Habra Blvd., 3, La Habra, CA 90631 | 2006-09-05 |
| 1104835404 | Ronald Paul Baumgartner | Family Medicine | 231 W Parkwood Ave, La Habra, CA 90631-7222 | 2006-08-05 |
| 1427066844 | Malathy Sriskandarajah | Family Medicine | 202 W La Habra Blvd, La Habra, CA 90631-5404 | 2006-08-03 |
| 1720003734 | Steven Herbets | Family Medicine | 161 Avenida Santa Catalina, La Habra, CA 90631-7606 | 2006-07-12 |
| 1821035536 | Ronald J. Correa | Family Medicine | 361 E Whittier Blvd Ste B, La Habra, CA 90631-3842 | 2006-06-01 |
| 1437150273 | Michael Reuben | Family Medicine | 731 N Beach Blvd, La Habra, CA 90631-3657 | 2005-08-02 |
| 1336674191 | La Habra Family Medical Clinic | Family Medicine | 308 N Harbor Blvd, La Habra, CA 90631-4847 | 2017-04-28 |
| 1093100232 | Duy Duc Nguyen | Family Medicine | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2015-04-04 |
| 1083027395 | Jennifer Lee | Family Medicine | 1400 S Harbor Blvd Ste A, La Habra, CA 90631-7577 | 2014-06-04 |
| Find all providers in LA HABRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.