OrganizationActive
Mobile Home Health Palliative & Hospice Medical Group
NPI 1003662966 · Internal Medicine Physician · Los Angeles, CA
Provider details
- NPI number
- 1003662966
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Davidson, Administrator(310) 212-1500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Home Health Agency251E00000X
Agencies
- Non-Pharmacy Dispensing Site332900000X
Suppliers
- Home Delivered Meals332U00000X
Suppliers
- Medical Foods Supplier335G00000X
Suppliers
- Home Infusion Agency251F00000X
Agencies
- Community Based Hospice Care Agency251G00000X
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1425 W Manchester Ave Ste a
Los Angeles, CA 90047-5436
Phone: (310) 212-1500
Street-level locationGet directions
Mailing address
1270 S Alfred St Unit 1064
Los Angeles, CA 90035-2506
Registry dates
- Enumerated
- 2024-04-30
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.