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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 : 1932676053
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 STE 1200W
Second Line :
City : ADDISON
State : TX
Zip : 75001-4624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1760 CHICAGO AVE STE J3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2358
Country : US
Telephone Number : 951-781-2200
Fax Number : 951-781-2220
Authorized Official
Title or Position : VP
Name : JOHN ANDERSON
Credential :
Telephone Number : 972-364-8000
Provider Enumeration Date : 10/26/2018
Last Update Date : 10/26/2018

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