Occspecialists Corp., A Medical Corporation (ca)

NPI 1053507558 - Clinic/Center - 261QX0100X

NPI Details
NPI 1053507558
Enumeration Date 09/18/2007
Last Updated 09/18/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TOM TOM
Position EVP, CMO
Phone (909) 484-7701
Fax (909) 481-5318
Practice Location
9439 ARCHIBALD AVE
STE. 101
RANCHO CUCAMONGA CA, 91730-7946, US
Phone (909) 484-7701
Fax (909) 481-5318
Business Location
5080 SPECTRUM DR
STE. 1200 WEST TOWER
ADDISON TX, 75001-4648, US
Phone (800) 232-3550
Fax (800) 401-6728
Toxanomy
Taxonomy Code 261QX0100X
License State
License Number
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According to our database, Occspecialists Corp., A Medical Corporation (ca) NPI is 1053507558, taxonomy code is 261QX0100X Occspecialists Corp., A Medical Corporation (ca) physically located at 9439 Archibald Ave, Rancho Cucamonga CA, 91730-7946. NPI Number 1033115704 has the healthcare provider type.

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1053507558 NPI number is provided on an as is basis without warranty of any kind. 1053507558 is maintained by the National Plan & Provider Enumeration System. The contents of Occspecialists Corp., A Medical Corporation (ca) are for informational purposes only.