Purpose Driven Mobile Physician
NPI 1871365320ActiveOrganization· Family Medicine, Adult Medicine· Los Angeles, CA
Family Medicine, Adult Medicine in Los Angeles, California, registered in NPPES in October 2023. The authorized official on file is Philip Kim, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871365320 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2023 |
| Last updated in NPPES | Oct 27, 2023 |
| Certified by provider | Oct 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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