# CONTRA COSTA INDUSTRIAL MEDICINE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Contra Costa Industrial Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679586259
- **Authorized official:** MS. PATRICIA A THOMAS P.A. (ADMINISTRATOR)
- **Authorized official phone:** (925) 777-9194

## Contact information

- **Practice address:** 2339 BUCHANAN RD, ANTIOCH, CA 94509-4402
- **Practice address phone:** (925) 777-9194
- **Practice address fax:** (925) 777-1120
- **Mailing address:** 120 BROADWAY AVE, STE 23, RICHMOND, CA 94804
- **Mailing address phone:** (510) 236-7243
- **Mailing address fax:** (510) 232-1411

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 08/22/2020