BIOGENX MEDICAL NPI 1962912246

NPI Information

NPI: 1962912246
Provider Name: BIOGENX MEDICAL
Classification: Preventive Medicine - 2083P0500X
Specialization: Preventive Medicine/Occupational Environmental Medicine
Entity Type: Organization
Doing Business As: BIOGENX MEDICAL
Address: 620 S GLENDORA AVE STE B
GLENDORA, CA
ZIP 91740
Phone: (818) 836-2475

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NPI Details

BIOGENX MEDICAL is a preventive medicine/occupational environmental medicine preventive medicine in Glendora, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. BIOGENX MEDICAL NPI is 1962912246. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Biogenx Medical.

The provider's business location address is:

620 S GLENDORA AVE STE B
GLENDORA, CA
ZIP 91740-815
Phone: (818) 836-2475
Fax: (310) 943-1475

The provider's authorized official is Christopher A Otiko .
The authorized official title is Manager and has the following contact phone number (818) 836-2475.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 3/2/2018.

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	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	G77666	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G77666	OTHER	CALIFORNIA	CALIFORNIA MEDICAL LICENSE

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: 11/21/2025

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