# BLUE OAK MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306205570
- **Authorized official:** DR. ROBIN CHORN MD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (424) 258-5716

## Contact information

- **Practice address:** 4300 LONG BEACH BLVD STE 170, LONG BEACH, CA 90807
- **Practice address phone:** (562) 216-5400
- **Mailing address:** 10801 NATIONAL BLVD STE 520, LOS ANGELES, CA 90064-4149
- **Mailing address phone:** (424) 258-5716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 09/04/2018