Organization · Type 2 NPI

Central Occupational Medicine Providers - Ontario, A Medical Corporati

Occupational Medicine Clinic/Center · Moreno Valley, CA

NPI number 1104184860 Active

Practice location

13800 Heacock St, Suite C136
Moreno Valley, CA 92553-3339

Call (951) 656-6009 Map

Fax (951) 656-6010

Mailing address

4300 Central Ave
Riverside, CA 92506-2918

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XA48324 (CA)
Family Medicine Physician 207Q00000XA43039 (CA)
Family Medicine Physician 207Q00000X20A5982 (CA)
Internal Medicine Physician 207R00000X48512 (CA)
General Practice Physician 208D00000XG70519 (CA)
General Practice Physician 208D00000X20A9190 (CA)
General Practice Physician 208D00000XG72529 (CA)
Occupational Medicine Clinic/Center Primary 261QX0100XNone listed

Occupational Medicine Clinic/Center: Definition to come...

38 other providers at this address

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About NPI 1104184860

Central Occupational Medicine Providers - Ontario, A Medical Corporati's National Provider Identifier is 1104184860, issued on May 1, 2012. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Moreno Valley, CA. The record was last updated on Apr 14, 2015.