Provider Demographics
NPI:1538871678
Name:CARE FIRST MOBILE MEDICAL GROUP INC
Entity type:Organization
Organization Name:CARE FIRST MOBILE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:CECILLE
Authorized Official - Last Name:BAWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-435-4344
Mailing Address - Street 1:636 E BROADWAY AVE
Mailing Address - Street 2:3F SUITE 25
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101
Mailing Address - Country:US
Mailing Address - Phone:888-538-2159
Mailing Address - Fax:858-727-2878
Practice Address - Street 1:636 E BROADWAY AVE
Practice Address - Street 2:3F SUITE 25
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:888-538-2159
Practice Address - Fax:858-727-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care