Provider Demographics
NPI:1780090787
Name:MOBILE MEDICAL EXAMINATION SERVICES MSO
Entity type:Organization
Organization Name:MOBILE MEDICAL EXAMINATION SERVICES MSO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SIAMAK
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-306-0615
Mailing Address - Street 1:1241 E DYER RD STE 145
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5694
Mailing Address - Country:US
Mailing Address - Phone:888-306-0615
Mailing Address - Fax:714-368-9206
Practice Address - Street 1:1241 E DYER RD STE 145
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5694
Practice Address - Country:US
Practice Address - Phone:888-306-0615
Practice Address - Fax:714-368-9206
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOBILE MEDICAL EXAMINATION SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone DensitometryGroup - Single Specialty