# AGILE OCCUPATIONAL MEDICINE, PC

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

## Provider details

- **NPI number:** 1407627052
- **Authorized official:** PETER MURRAY (SECRETARY)
- **Authorized official phone:** (571) 224-5886

## Contact information

- **Practice address:** 500 E COLORADO ST STE 100, GLENDALE, CA 91205-1607
- **Practice address phone:** (818) 246-4800
- **Practice address fax:** (213) 261-7974
- **Mailing address:** 3200 BRISTOL ST STE 600, COSTA MESA, CA 92626-1810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 05/05/2026