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NPI Code Detail

MEDICARE: WEST COAST OCCUPATIONAL MEDICAL GROUP

MEDICARE: WEST COAST OCCUPATIONAL MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1588941579
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST COAST OCCUPATIONAL MEDICAL GROUP
Provider Business Mailing Address
First Line : 4601 WILSHIRE BLVD
Second Line : 3RD FLOOR
City : LOS ANGELES
State : CA
Zip : 90010-3880
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4601 WILSHIRE BLVD
Second Line : 3RD FLOOR
City : LOS ANGELES
State : CA
Zip : 90010-3880
Country : US
Telephone Number : 323-556-3470
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. LANA GEYBER
Credential : MD
Telephone Number : 323-556-3470
Provider Enumeration Date : 11/04/2011
Last Update Date : 11/07/2011

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Directions to “WEST COAST OCCUPATIONAL MEDICAL GROUP ” Practice Location

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