Provider Demographics
NPI:1487419370
Name:MOBILE HEALTH CARE SERVICES
Entity type:Organization
Organization Name:MOBILE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ERITSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-757-7291
Mailing Address - Street 1:6655 S TENAYA WAY STE 180A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-1929
Mailing Address - Country:US
Mailing Address - Phone:702-757-7291
Mailing Address - Fax:
Practice Address - Street 1:6655 S TENAYA WAY STE 180A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1929
Practice Address - Country:US
Practice Address - Phone:702-757-7291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty