| Elijah Mobley, MD | |
|
15366 11th St Ste Q, Victorville, CA 92395-3726 | |
| (760) 241-6201 | |
| (760) 241-6203 |
| Full Name | Elijah Mobley |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 15366 11th St Ste Q, Victorville, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528034212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 204F00000X | Transplant Surgery | 5725 (South Dakota) | Secondary |
| 208600000X | Surgery | CA286A (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Apple valley, CA | Hospital |
| Entity Name | Elijah Mobley MD Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013247485 PECOS PAC ID: 0648314062 Enrollment ID: O20100223000185 |
| Entity Name | Wound MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942606744 PECOS PAC ID: 8820314529 Enrollment ID: O20150223001584 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Mobley, MD 20258 Us Highway 18, Pmb 514 Ste 430, Apple Valley, CA 92307-6197 Ph: (760) 946-0100 | Elijah Mobley, MD 15366 11th St Ste Q, Victorville, CA 92395-3726 Ph: (760) 241-6201 |
Stephen Kolakowski Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 |
Dr. Mitesh Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 |
Julius A Cruz, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 15203 11th St, Ste C, Victorville, CA 92395 Phone: 760-245-9714 Fax: 760-245-2539 |
Dr. Jason Todd Chiriano, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 609-510-0657 Fax: 760-951-5382 |
Ferdinand Perez - Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 |
Mr. Phong Thanh Dargon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 760-951-0065 Fax: 760-951-5382 |
Suttatip Vechvitvarakul, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 760-951-0065 |