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Contact Information

SOURCE MOBILITY INCORPORATED
5150 CANDLEWOOD ST
LAKEWOOD, CA90712-1925
 Phone: 562-534-1134
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SOURCE MOBILITY INCORPORATED

NPI # 1265147458
LBN Legal business name SOURCE MOBILITY INCORPORATED
Authorized official ZAARA GATSON - (CE0)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2023
Last updated 02/14/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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