CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC NPI 1306988746

NPI Information

NPI: 1306988746
Provider Name: CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC
Classification: Preventive Medicine - 2083S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1142 ROSE AVENUE
SELMA, CA
ZIP 93662
Phone: (559) 891-8940
Get Directions

CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC is a sports medicine preventive medicine in Selma, CA. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. CALIFORNIA OCCUPATIONAL MEDICINE PRACTICE INC NPI is 1306988746. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1142 ROSE AVENUE
SELMA, CA
ZIP 93662
Phone: (559) 891-8940

The provider's authorized official is Marc Douglass Johnson .
The authorized official title is Ceo and has the following contact phone number (831) 901-6856.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083S0010X	Preventive Medicine	Sports Medicine	A79547	CALIFORNIA	Yes
2	2083X0100X	Preventive Medicine	Occupational Medicine	A79547	CALIFORNIA	X
3	208D00000X	General Practice		A79547	CALIFORNIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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