Central Occupational Medicine Providers - Ontario, a Medical Corporati

NPI #1104184860 in Moreno Valley, California

Provider Information

NPI Number: 1104184860
Entity Type: Organization
Organization Name: Central Occupational Medicine Providers - Ontario, a Medical Corporati
Primary Specialty: Clinic/Center - Occupational Medicine
Enumeration Date: May 1, 2012
Last Updated: Apr 14, 2015

Practice Location

Address: 13800 HEACOCK ST
Address 2: SUITE C136
City: Moreno Valley
State: California
ZIP Code: 92553-3339
Phone: (951) 656-6009

Authorized Official

Name: MR. GREGORY JOSEPH SPEER
Title: ADMINISTRATOR
Phone: (951) 222-2206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
General Practice	208D00000X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X	Primary

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