| Organization Name: | MOBILE PRIMARY CARE PHYSICIANS, INC |
| NPI Number: | 1154677557 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIGNON WALKER MARQUINA (MEMBER) |
| Mailing Address: | 703 Pier Ave Suite B625 Hermosa Beach |
| State: | CA US |
| Postal Code: | 902543949 |
| Phone Number: | 3109411513 |
| Fax Number: | 8882060814 |
| NPI Enumeration Date: | 08/03/2012 |
| NPI Last Update Date: | 08/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |