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CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO A MEDICAL CORPORATI NPI 1669730321


NPI Information

NPI: 1669730321
Provider Name: CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI

Other Name: COMP

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 05D2161546

Address:
59 S MILLIKEN AVE
SUITE 100
ONTARIO, CA
ZIP 91761
Phone: (909) 605-8888
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CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI is an occupational medicine clinic center in Ontario, CA. CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI NPI is 1669730321. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Comp.

The provider's business location address is:

59 S MILLIKEN AVE
SUITE 100
ONTARIO, CA
ZIP 91761-811
Phone: (909) 605-8888
Fax: (909) 605-8855

The provider's authorized official is Gregory Joseph Speer .
The authorized official title is Administrator and has the following contact phone number (951) 222-2206.

The CLIA number assigned to this NPI record is 05D2161546 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 4/14/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA48324CALIFORNIANo
2207Q00000XFamily Medicine20A5982CALIFORNIANo
3207R00000XInternal MedicineA48512CALIFORNIANo
4208D00000XGeneral PracticeG72529CALIFORNIANo
5208D00000XGeneral PracticeG70519CALIFORNIANo
6208D00000XGeneral Practice20A9190CALIFORNIANo
7261QX0100XClinic/CenterOccupational MedicineYes

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: 11/14/2023

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