Provider Demographics
NPI:1912883059
Name:SOCAL MOBILE DOCTORS MD INC
Entity type:Organization
Organization Name:SOCAL MOBILE DOCTORS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANOUSHEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHOURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:628-303-0703
Mailing Address - Street 1:23861 MCBEAN PKWY STE B10
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2003
Mailing Address - Country:US
Mailing Address - Phone:628-303-0703
Mailing Address - Fax:628-303-0747
Practice Address - Street 1:23861 MCBEAN PKWY STE B10
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-2003
Practice Address - Country:US
Practice Address - Phone:628-303-0703
Practice Address - Fax:628-303-0747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care