Purpose Driven Mobile Physician - Medicare Primary Care in Los Angeles, CA

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Purpose Driven Mobile Physician is a medicare enrolled primary clinic (Family Medicine - Adult Medicine) in Los Angeles, California. The current practice location for Purpose Driven Mobile Physician is 4221 Wilshire Blvd Ste 170-8, Los Angeles, California. For appointments, you can reach them via phone at (818) 646-7203. The mailing address for Purpose Driven Mobile Physician is 4221 Wilshire Blvd Ste 170-8, Los Angeles, California and phone number is () -.

Purpose Driven Mobile Physician is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1871365320. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 646-7203.

Contact Information

Purpose Driven Mobile Physician
4221 Wilshire Blvd Ste 170-8
Los Angeles
CA 90010-3519
(818) 646-7203
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePurpose Driven Mobile Physician
SpecialityFamily Medicine
Location4221 Wilshire Blvd Ste 170-8, Los Angeles, California
Authorized Official Name and PositionPhilip Kim (CEO)
Authorized Official Contact2135984947
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Purpose Driven Mobile Physician
4221 Wilshire Blvd Ste 170-8
Los Angeles
CA 90010-3519

Ph: () -		Purpose Driven Mobile Physician
4221 Wilshire Blvd Ste 170-8
Los Angeles
CA 90010-3519

Ph: (818) 646-7203

NPI Details:

NPI Number1871365320
Provider Enumeration Date10/27/2023
Last Update Date10/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1557803673
Medicare Enrollment IDO20240604004306

Medical Identifiers

Medical identifiers for Purpose Driven Mobile Physician such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871365320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Purpose Driven Mobile Physician acts as a billing entity for following providers:
Provider NameJae S Chu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063400745
PECOS PAC ID: 6507981206
Enrollment ID: I20100918000098
Provider NameSojung Suk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811376056
PECOS PAC ID: 1658674981
Enrollment ID: I20160120002722
Provider NameHeather Jo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376913319
PECOS PAC ID: 3274830161
Enrollment ID: I20160321000171
Provider NamePhilip Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356781132
PECOS PAC ID: 5496054330
Enrollment ID: I20200715002512
Provider NameSoo Young Yu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528841699
PECOS PAC ID: 1557807500
Enrollment ID: I20240725003354

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.