Healthcare Provider Details

I. General information

NPI: 1427349976
Provider Name (Legal Business Name): REDDING OCCUPATIONAL MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 CHURN CREEK RD
REDDING CA
96002-0236
US

IV. Provider business mailing address

PO BOX 99740
EMERYVILLE CA
94662-9740
US

V. Phone/Fax

Practice location:
  • Phone: 530-646-4242
  • Fax: 530-646-4243
Mailing address:
  • Phone: 530-646-4242
  • Fax: 530-646-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberG58556
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberG58556
License Number StateCA

VIII. Authorized Official

Name: DR. STEVEN A GEST
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 530-646-4242