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NPI Code Detail

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA, A MEDICAL CORPORATION

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA, A MEDICAL CORPORATION
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
1261QH0100XHealth Service Clinic/Center
2261QP2000XPhysical Therapy Clinic/Center
3261QX0100XOccupational Medicine Clinic/Center

General Provider Information

NPI Number : 1114061470
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA, A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 5080 SPECTRUM DR
Second Line : SUITE 1200 WEST TOWER
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 972-720-7768
Fax Number : 214-775-4502
Provider Business Practice Location Address
First Line : 9405 FAIRWAY VIEW PL
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0932
Country : US
Telephone Number : 909-484-3801
Fax Number : 909-481-5508
Authorized Official
Title or Position : VICE PRESIDENT
Name : JOHN ANDERSON
Credential : DO
Telephone Number : 972-364-8000
Provider Enumeration Date : 02/19/2007
Last Update Date : 06/20/2025

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