Central Occupational Medicine Providers - Ontario, A Medical Corporati

NPI 1104184860 - Family Medicine - 207Q00000X

NPI Details
NPI 1104184860
Enumeration Date 05/01/2012
Last Updated 04/14/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GREGORY JOSEPH GREGORY
Position ADMINISTRATOR
Phone (951) 656-6009
Fax (951) 656-6010
Practice Location
13800 HEACOCK ST
SUITE C136
MORENO VALLEY CA, 92553-3339, US
Phone (951) 656-6009
Fax (951) 656-6010
Business Location
4300 CENTRAL AVE
RIVERSIDE CA, 92506-2918, US
Phone (951) 222-2206
Fax (951) 222-2196
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A48324
Remove 1104184860 NPI Number
 

According to our database, Central Occupational Medicine Providers - Ontario, A Medical Corporati NPI is 1104184860, taxonomy code is 207Q00000X and license number is A48324, license state is located at California. Central Occupational Medicine Providers - Ontario, A Medical Corporati physically located at 13800 Heacock St, Moreno Valley CA, 92553-3339. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104184860 NPI number is provided on an as is basis without warranty of any kind. 1104184860 is maintained by the National Plan & Provider Enumeration System. The contents of Central Occupational Medicine Providers - Ontario, A Medical Corporati are for informational purposes only.