| Socal Mobile Doctors MD Inc | |
|
23861 Mcbean Pkwy Ste B10 Santa Clarita CA 91355-2003 | |
| (628) 303-0703 | |
| (628) 303-0747 |
| Full Name | Socal Mobile Doctors MD Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23861 Mcbean Pkwy Ste B10, Santa Clarita, California |
| Authorized Official Name and Position | Anousheh Ashouri (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6283030703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Mobile Doctors MD Inc 23861 Mcbean Pkwy Ste B10 Santa Clarita CA 91355-2003 Ph: (628) 303-0703 | Socal Mobile Doctors MD Inc 23861 Mcbean Pkwy Ste B10 Santa Clarita CA 91355-2003 Ph: (628) 303-0703 |
| NPI Number | 1912883059 |
|---|---|
| Provider Enumeration Date | 08/13/2025 |
| Last Update Date | 08/13/2025 |
| Certification Date | 08/13/2025 |
| Medicare PECOS PAC ID | 5294238176 |
|---|---|
| Medicare Enrollment ID | O20250915003430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912883059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Anousheh N Ashouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336305036 PECOS PAC ID: 3274769898 Enrollment ID: I20131203001714 |
| Provider Name | Karapet Mirakyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194318014 PECOS PAC ID: 5294134847 Enrollment ID: I20210601002604 |
| Provider Name | Eric X Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003311960 PECOS PAC ID: 1456603604 Enrollment ID: I20210811001030 |
| Provider Name | Tina Bedrossian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801600994 PECOS PAC ID: 8224522974 Enrollment ID: I20251210003506 |
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