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ACTIVE MOBILE MEDICAL GROUP, INC.
NPI 1184370199
Family Medicine in Los Angeles, CA

Active since February 28, 2022
3450 WILSHIRE BLVD STE 1200, LOS ANGELES, CA 90010(213) 465-2643(213) 232-4944 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Mobile Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE MOBILE MEDICAL GROUP, INC. (NPI 1184370199) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since February 2022. The organization lists Joanna Balasico, Vice President, as its authorized official.

NPPES Registry Identity

NPI1184370199
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACTIVE MOBILE MEDICAL GROUP, INC.
Location Address3450 WILSHIRE BLVD STE 1200Los Angeles, CA 90010-2214
Mailing Address3325 Wilshire Blvd Ste 208Los Angeles, CA 90010-1733 · (213) 465-2643 · Fax (213) 232-4944
Phone(213) 465-2643
Fax(213) 232-4944
Organization SubpartNo
Authorized OfficialJoanna BalasicoVice President · (213) 465-2643
Enumeration DateFebruary 28, 2022
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1184370199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
3450 WILSHIRE BLVD STE 1200, Los Angeles, CA 90010
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Mobile Medical Group, Inc.'s NPI number?

The NPI number for Active Mobile Medical Group, Inc. is 1184370199. It was assigned to this organization in the NPPES registry on February 28, 2022.

Where is Active Mobile Medical Group, Inc. located?

Active Mobile Medical Group, Inc. is located at 3450 Wilshire Blvd Ste 1200, Los Angeles, CA 90010. The listed phone number is (213) 465-2643.

What is Active Mobile Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Active Mobile Medical Group, Inc. was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.