MOBILE EXECUTIVE HEALTHCARE COSMETIC AND REJUVENATION MEDICAL
NPI 1083411664
Surgery in Los Angeles, CA

NPI Status: Active since February 28, 2025

Contact Information

1425 W MANCHESTER AVE STE A
LOS ANGELES, CA
ZIP 90047
Phone: (310) 242-7400

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  • Organization
  • Surgery

About MOBILE EXECUTIVE HEALTHCARE COSMETIC AND REJUVENATION MEDICAL

This page provides the complete NPI Profile along with additional information for Mobile Executive Healthcare Cosmetic And Rejuvenation Medical, a provider established in Los Angeles, California operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1083411664 assigned on February 2025. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated February 2025. Mobile Executive Healthcare Cosmetic And Rejuvenation Medical operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Daniel Davidson Phd (Administrator)

NPI
1083411664
Provider Legal Name
MOBILE EXECUTIVE HEALTHCARE COSMETIC AND REJUVENATION MEDICAL
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1425 W MANCHESTER AVE STE A LOS ANGELES, CA 90047
Location Phone
(310) 242-7400
Mailing Address
1270 S ALFRED ST # 1064 LOS ANGELES, CA 90035
Mailing Phone
(310) 212-1500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2025
Last Update Date
02-28-2025
Code Navigator

A surgeon like Mobile Executive Healthcare Cosmetic And Rejuvenation Medical treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DANIEL DAVIDSON PHD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(310) 212-1500

Reviews for MOBILE EXECUTIVE HEALTHCARE COSMETIC AND REJUVENATION MEDICAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083411664
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163812612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 8 + 1 + 2 + 6 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1083411664 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003662966MOBILE HOME HEALTH PALLIATIVE & HOSPICE MEDICAL GROUP
Organization
Internal Medicine1425 W MANCHESTER AVE STE A
LOS ANGELES, CA 90047
(310) 212-1500
1093561938MOBILE WOUND CARE & MULTI-SPECIALTY MEDICAL GROUP
Organization
Clinic/Center (Multi-Specialty)1425 W MANCHESTER AVE STE A
LOS ANGELES, CA 90047
(626) 869-6050
1356197214MOBILE HOME HEALTH PALLIATIVE & HOSPICE MEDICAL GROUP
Organization
Family Medicine1425 W MANCHESTER AVE STE A
LOS ANGELES, CA 90047
(310) 212-1500
1356956692GOOD NEIGHBOR CLINIC & URGENT CARE A MEDICAL CORPORATION
Organization
General Practice1425 W MANCHESTER AVE STE A
LOS ANGELES, CA 90047
(323) 991-2300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083411664, enumerated in the NPI registry as an "organization" on February 28, 2025

The provider is located at 1425 W Manchester Ave Ste A Los Angeles, Ca 90047 and the phone number is (310) 242-7400

This medical organization specializes in Surgery with taxonomy code 208600000X

This NPI record was last updated on February 28, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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