MEDICARE: BUILDING BETTER LIVES OCCUPATIONAL MEDICAL SERVICES, INC.

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
1	261QU0200X	Urgent Care Clinic/Center	G43187	CA

General Provider Information

NPI Number	:	1225192743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUILDING BETTER LIVES OCCUPATIONAL MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	1901 HOLSER WALK
Second Line	:	315
City	:	OXNARD
State	:	CA
Zip	:	93036-2633
Country	:	US
Telephone Number	:	805-988-2273
Fax Number	:	805-981-8281

Provider Business Practice Location Address
First Line	:	1901 HOLSER WALK STE 315
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93036-2633
Country	:	US
Telephone Number	:	805-988-2273
Fax Number	:	805-981-8281

Authorized Official
Title or Position	:	SECRETARY
Name	:	DR. MACK D TOYAMA
Credential	:	DC, PA-C
Telephone Number	:	805-988-2273

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	01/26/2012

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